Resumo

BAQUERO, Laura  e  VINDAS, Manuel. Trombólisis de válvula mecánica en posición aórtica en segundo episodio de trombosis. Rev. costarric. cardiol [online]. 2022, vol.24, n.1, pp.18-23. ISSN 1409-4142.

Although surgery is the usual management of mechanical prosthetic valve thrombosis, the usage of alteplase as a thrombolytic agent is an option that can be considered in certain cases. Mainly its usage takes place when there is a contraindication for surgery. We present the case of a patient in her second episode of mechanical valve thrombosis in whom thrombolysis with alteplase was achieved. She had a satisfactory evolution, with complete resolution of her symptoms and improvement in echocardiographic gradients.

Palavras-chave : Thrombosis; thrombolysis; mechanical valve; Aortic valve.

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