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Case Studies | Cardiology Science | India | Volume 12 Issue 5, May 2023 | Popularity: 4.4 / 10

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32 Years Old Female, 7 Month Primigravida, A Case of Stucked Mitral Valve with Extensive Thrombus Treated Successfully with Thrombolysis Developing Right Femoral Artery Occlusion

Dr. Sagar Makode, Dr. Rutuja Darokar

Abstract: 32 - year primi ANC female with history of MVR (2008) presented to us with history of breathlessness and orthopnea since 4 days. The patient was non - compliant with enoxaparin injections. Urgent echo showed incomplete movements of one mitral leaflet and other was stucked completely with elevated gradient of across the mitral valve and severe PAH with heavy thrombus load. Cardiothoracic vascular surgeon opinion was obtained and decision of thrombolysis was taken after discussion with family. However, after around six hours of thrombolysis, patient developed sudden burning pain, loss of movements in the right lower limb and urgent ultrasound doppler showed complete occlusion of the right common femoral artery. After Interventional radiologist consultation, the decision of conservative management was taken. Within 1 to 2 hours of continued thrombolysis, her pain has resolved completely, movements regained and pulses were palpable. Repeat 2D echo after thrombolysis showed resolution of the thrombus, significant fall in the gradient with no pulmonary artery hypertension and leaflets started moving. Patient was given heparin infusion and warfarin post thrombolysis. Patient was discharged in stable condition.

Keywords: Mechanical mitral valve thrombosis, stucked valve, embolic complications of stucked valve, extensive mitral valve thrombosis, femoral artery occlusion in stucked mitral valve

Edition: Volume 12 Issue 5, May 2023

Pages: 524 - 525

DOI: https://www.doi.org/10.21275/SR23506201424

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