PROSTHETIC VALVE THROMBOSIS TREATED BY FIBRINOLYTIC THERAPY DURING CARDIOPULMONARY RESUSCITATION: A CASE REPORT AND REVIEW OF THE LITERATURE

AL-TAMIMI L.S.¹, AL HIMAIRI A.F.², AL-MULLA A.A.^3
1Cardiology and Cardiothoracic Centre- Dubai Hospital-Dubai Health Authority, Dubai, UAE.
²Cardiology and Cardiothoracic Centre- Dubai Hospital-Dubai Health Authority, Dubai, UAE.
³Cardiology and Cardiothoracic Centre- Dubai Hospital-Dubai Health Authority, Dubai, UAE.

Received : 31-12-2012     Accepted : 23-07-2013     Published : 06-08-2013
Volume : 1     Issue : 1       Pages : 18 - 21
World Res J Crit Care 1.1 (2013):18-21

A 64 years old Indian female with a history of Mechanical Aortic Valve Replacement (ST. Jude) on Warfarin with irregular follow up and poor compliance. The patient presented with decompensated heart failure that was secondary to Aortic valve thrombosis confirmed by Transthoracic Echocardiography (TTE), this was successfully treated with thrombolytic therapy during cardiopulmonary resuscitation (CPR) and the patient's clinical outcome was good. To our knowledge, this is the first case of the use of thrombolytic therapy during CPR for mechanical valve thrombosis. We will report the case and review the literature.