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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 mdpi.com 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

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Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University
2
Centre of Cardiology and Angiology, Vilnius University Hospital Santariškių Klinikos
3
Centre of Heart Surgery, Vilnius University Hospital Santariškių Klinikos, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2012, 48(12), 91; https://doi.org/10.3390/medicina48120091
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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