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Right arrow Valve disease

J Thorac Cardiovasc Surg 2008;136:1104-1105
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Prosthetic valve thrombosis: A regimen of treatment with low-dose and longer-course using recombinant tissue-type plasminogen activator is a promising protocol

Fidel Manuel Cáceres-Lóriga, MD, PhD, Horacio Pérez-López, MD, PhD, Karel Morlans-Hernández, MD

Institute of Cardiology and Cardiovascular Surgery, Havana, Cuba

The first 20% of the full text of this article appears below.

To the Editor:

Despite the progress in anesthesia, cardiac surgery, and perioperative care, the therapeutic decision in prosthetic valve thrombosis (PVT) remains in discussion.

In recent years thrombolytic therapy has won acceptance, and for many it is the first therapeutic choice because the mortality is lower than that of surgical treatment and its application is easy and rapid.1,2Go

We do not know with certainty how long it takes thrombolytic therapy to deocclude a thrombosed prosthesis, although it probably takes less time than surgery because of all the equipment needed to . . . [Full Text of this Article]






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Copyright © 2008 by The American Association for Thoracic Surgery.