Management of prosthetic heart valve obstruction: Fibrinolysis versus surgery. Early results and long-term follow-up in a single-centre study of 263 cases

Raymond Roudaut, Stephane Lafitte, Marie-Françoise Roudaut, Patricia Reant, Xavier Pillois, Catherine Durrieu-Jaïs, Pierre Coste, Claude Deville, Xavier Roques
2009 Archives of Cardiovascular Diseases  
Prise en charge d'une obstruction de prothèse valvulaire mécanique : fibrinolyse versus chirurgie. Résultats précoces et à long terme dans une série monocentrique de 263 cas Summary Optimal management of prosthetic heart valve obstruction (PHVO) remains controversial even though surgery is usually recommended. To better define the efficacy and safety of fibrinolysis versus surgery in the pre-and post-transoesophageal echocardiography (TEE) eras. We analysed initial results and follow-up data
more » ... m a large, retrospective, single-centre series, comparing fibrinolysis and surgery in patients with PHVO treated over 20 years. Two hundred and sixty-three consecutive episodes of PHVO in 210 patients, mainly left sided, were managed in our institution by either fibrinolysis (n = 127) or surgery (n = 136). Early clinical evolution was
doi:10.1016/j.acvd.2009.01.007 pmid:19427604 fatcat:xsr6nmlc35f43kbgqnsqwv7qxm