Patient Details: A 34 year old lady, post aortic valve replacement Bi leaflet St Jude Valve
Presented 7 months later with history of giddiness and breathlessness. She was on proper oral anti coagulation during this seven months period with INR around 2.3 2.5 (optimally anti coagulated). Her echo showed prosthetic aortic valve gradient of 81 mm of Hg. A fluroscopy of the valve showed a single mobile leaflet and a dysfunctional immobile second leaflet.
Thrombolytic Therapy:
see the details here:
http://www.cardiacforum.org/?p=990
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