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001-es BibID:BIBFORM030193
Első szerző:Péterffy Árpád (szívsebész, mellkassebész)
Cím:Late thrombotic malfunction of the Björk-Shiley tilting disc valve in the tricuspid position : principles for recognition and management / Árpád Péterffy, Axel Henze, Geoffrey F. Savidghe, Christian Landou, Viking Olov Björk
Dátum:1980
Megjegyzések:Among 52 consecutive patients surviving tricuspid valve replacement with the Björk-Shiley tilting disc valve, follow-up extends between 1/2-9 years, mean 4.9 years. Four patients suffered thrombotic obstruction of their tricuspid prosthesis on 8 occasions, an incidence of 3.2%/year. Ebstein's anomaly and deficient anticoagulation were identified as likely contributory factors, but the complication remained unexplained in 2/8 instances. Thrombotic malfunction of the tricuspid prosthesis seems to constitute a relatively benign clinical entity with mild manifestations and diagnostic possibilities by non-invasive methods. Relief by means of thrombolytic treatment in the form of streptokinase (Kabikinase) (4) or replacement of the clotted prosthesis (4) involved neither disabling complications nor mortality. Our clinical observations and experimental studies suggest that thrombolytic therapy is effective, provided that prosthetic malfunction is due to a recent red clot, whereas encapsulation of the prosthetic disc by organized white-grey pannus necessitates re-operation. Streptokinase treatment should be attempted before surgery, but it is hardly meaningful to proceed for more than 24 hours. Restored prosthetic function within this time limit indicates the likely resolution of a red clot.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
külföldön készült közlemény
Megjelenés:Scandinavian journal of thoracic and cardiovascular surgery. - 14 : 1 (1980), p. 33-41. -
További szerzők:Henze, Axel Savidghe, Geoffrey F. Landou, Christian Björk, Viking Olov
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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