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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Disc Impediment in Medtronic-Hall Aortic Valve Prosthesis Followed by Successful Reoperation

Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University
Centre of Cardiology and Angiology, Vilnius University Hospital Santariškių Klinikos
Centre of Heart Surgery, Vilnius University Hospital Santariškių Klinikos, Lithuania
Author to whom correspondence should be addressed.
Medicina 2012, 48(12), 91;
Received: 19 June 2012 / Accepted: 30 December 2012 / Published: 4 January 2013
This case report describes the diagnostic and treatment challenges of the combined disc impediment caused by pannus ingrowth in combination with thrombus formation in a 21-mm Medtronic-Hall aortic valve prosthesis. A combined obstruction of a Medtronic-Hall prosthesis in the aortic position is a rare, but potentially fatal clinical condition for the first time reported in Vilnius University Hospital Santariškių Klinikos. Despite the difficulties in determining a correct diagnosis, our critically ill patient was clinically stabilized by partially successful thrombolysis and then successfully treated by a surgical thrombectomy together with pannus excision during the rotation of the disc within the valve housing 3 years after the valve implantation.
Keywords: prosthetic valve dysfunction; thrombolysis; thrombectomy; pannus excision prosthetic valve dysfunction; thrombolysis; thrombectomy; pannus excision
MDPI and ACS Style

Glaveckaitė, S.; Peldžius, R.; Grebelis, A.; Šerpytis, P.; Laucevičius, A. Disc Impediment in Medtronic-Hall Aortic Valve Prosthesis Followed by Successful Reoperation. Medicina 2012, 48, 91.

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