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Ann Thorac Surg 1994;58:168-169
© 1994 The Society of Thoracic Surgeons

Articles

Thrombotic obstruction of bileaflet valves: Surgical management and fiberoptic thrombectomy

Zohair Al-Halees, FRCSC*, Naresh Kumar, FRCS

Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

Accepted for publication November 15, 1993.

* Address reprint requests to Dr Al-Halees, Department of Cardiovascular Diseases (MBC-16), King Faisal Specialist Hospital, PO Box 3354, Riyadh 11211, Saudi Arabia.

Three patients underwent emergency operation for thrombotic obstruction of a bileaflet mechanical prosthesis (two St. Jude and one Duromedics) in the mitral position. The three valves were successfully thrombaectomized with return to normal function. In 2 patients removal of the thrombus at the valve hinges was assisted by the use of a flexible fiberoptic choledochoscope. All 3 patients remain well 2 years after the procedure, maintained on a regimen of warfarin and dipyridamole.






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Copyright © 1994 by The Society of Thoracic Surgeons.