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The Annals of Thoracic Surgery, Vol 58, 168-169, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Thrombotic obstruction of bileaflet valves: surgical management and fiberoptic thrombectomy

Z al-Halees and N Kumar
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, 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 thromboectomized 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.