Abciximab Treatment for Obstructive Prosthetic Aortic and Mitral Valve Thrombosis in the Presence of Large Thrombi, Cardiogenic Shock, and Acute Evolving Embolic Stroke

Atiar M. Rahman, Yochai Birnbaum, Pitchaiah Mandava, Masood Ahmad

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Obstructive thrombosis of left-sided mechanical prosthetic valves is a life-threatening complication. Intravenous thrombolytic therapy is contraindicated due to risk of clot embolization and surgical treatment is often required for hemodynamically unstable patients. We report for the first time the successful use of abciximab in the management of a patient in cardiogenic shock with multiple prosthetic valve obstructive thrombosis and evolving embolic stroke. Serial Doppler echocardiography and cinefluoroscopy demonstrated resolution of thrombi, improvements in transvalvular gradients and improvement in leaflet motion. This observation suggests abciximab should be considered as a therapeutic option in the treatment of obstructed prosthetic heart valves.

Original languageEnglish
Pages (from-to)55-59
Number of pages5
JournalEchocardiography
Volume21
Issue number1
DOIs
StatePublished - Jan 2004

Fingerprint

Cardiogenic Shock
Aortic Valve
Mitral Valve
Thrombosis
Stroke
Doppler Echocardiography
Thrombolytic Therapy
Heart Valves
Therapeutics
abciximab

Keywords

  • Abciximab
  • Emboli
  • Prosthetic valve
  • Shock
  • Stroke
  • Thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Abciximab Treatment for Obstructive Prosthetic Aortic and Mitral Valve Thrombosis in the Presence of Large Thrombi, Cardiogenic Shock, and Acute Evolving Embolic Stroke. / Rahman, Atiar M.; Birnbaum, Yochai; Mandava, Pitchaiah; Ahmad, Masood.

In: Echocardiography, Vol. 21, No. 1, 01.2004, p. 55-59.

Research output: Contribution to journalArticle

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