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A Journal on Surgery

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Chirurgia 2008 December;21(6):343-5

language: English

Surgical re-replacement of aortic valve under bifemoral extracorporeal circulaion and cardiopulmonary resuscitation as a consequence of acute prosthetic valve thrombosis

Coskun K. O. 1, Coskun S. T. 1, Popov A. F. 2, Körfer R. 1

1 Department of Thoracic and Cardiovascular Surgery Heart and Diabetes Center North Rhine Westphalia/University Hospital of Bochum, Bad Oeynhausen, Germany
2 Department of Thoracic and Cardiovascular Surgery University of Göttingen, Germany


Despite improved surgical techniques and valve materials, prosthetic valve obstruction remains an important cause of mortality and morbidity as well as a major cause of reoperations after prosthetic valve replacement. Inadequate anticoagulation is responsible for prosthetic valve thrombosis (PVT). We report the case of a patient with PVT, who had to be reoperated. Sternal incision, re-entry into the thorax and explantation of the previous prosthesis makes reoperations challenging because of adhesions, possible bleeding and depending on the rest condition of the annulus.

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