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Ann Thorac Surg 1997;64:255-257
© 1997 The Society of Thoracic Surgeons


Case Report

Successful Thrombolysis After Prosthetic Pulmonary Valve Obstruction Under Aspirin Monotherapy

Wolfram Burger, MD, Georg-Dieter Kneissl, MD, Andreas Hartmann, MD, Rupert Bauersachs, MD, Volker Döring, MD, Ulrike Spengler, MD, Guntram Neumann, MD, Karl Wolfgang Rothe, MD

Departments of Interventional Cardiology and Nuclear Medicine, St. Georg Hospital Leipzig, Leipzig, Germany

Accepted for publication March 5, 1997.

In a 22-year-old woman with recent onset of left-sided chest pain and exertional dyspnea, echocardiography revealed obstruction of a St. Jude Medical bileaflet prosthetic valve (size 23 mm) in the pulmonary position. Oral anticoagulation had been replaced for the previous 7 years by aspirin as the sole antithrombotic treatment. The valve had been inserted 16 years ago for pulmonary atresia. Valve function was restored by systemic application of 9 million units of urokinase.


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Invited Commentary
Scott M. Bradley
Ann. Thorac. Surg. 1997 64: 257-258. [Extract] [Full Text]



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