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Revista Uruguaya de Cardiología

On-line version ISSN 1688-0420


ABREU, RODRIGO; BARRANCO, DANIELA; PINEYRO, HUGO  and  CASALES, DANIEL. Trombosis protésica obstructiva: un enemigo latente: Revisión del tema, a propósito de tres casos clínicos. Rev.Urug.Cardiol. [online]. 2011, vol.26, n.3, pp.179-188. ISSN 1688-0420.

SUMMARY  Obstructive prosthetic thrombosis is a dreaded complication with a poor prognosis even with prompt treatment. The different symptoms of presentation require a high level of clinical suspicion and rapid implementation of diagnostic methods in order to start a correct treatment and improve the outcome. We analyze 3 cases from our center, with a different presentation and outcome and then conducted a review of the pathophysiology, the current diagnostic methods and the most appropriate treatment in each clinical situation. When we face a patient with mechanical valve prosthesis and cardiovascular symptoms, it is necessary to quickly perform a transthoracic echocardiogram and a cinefluoroscopy since these methods together allow a correct diagnosis in a high percentage of cases and are widely available throughout our country. Once diagnosed, the choice of treatment depends on the patient’s symptoms and comorbidities, being cardiac surgery reserved for those symptomatic patients and fibrinolytic for those with few symptoms and small thrombi


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