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Heart valve replacements are commonly performed these days in India with mitral valve replacement being most common of all. Thromboemboli are a major source of morbidity in patients with prosthetic heart valves. The incidence of clinically recognizable events ranges from 0.6% to 2.3% per patient-year. Mechanical valve thrombosis is another common complication, incidence of which is estimated at 0.3% to 1.3% per patient-year in developed countries, but as high as 6% per patient-year in developing countries. Management of either complication in these patients requires adequate knowledge and clinical experience. We here describe a rare case of a patient who came to us with both complication of stuck mitral valve prosthesis and embolic stroke simultaneously. We here discuss the approach, monitoring and management of these patients, the clinical difficulties we faced in our case, immediate and short term prognosis of our patient.
Nishimura RA, Otto CM, Bonow RO. AHA/ACC guideline for the management of patients with valvular heart disease: Executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;63: 2438–2488.
Renzulli A, Onorati F, De Feo M, Vitale N, Esposito S. Mechanical valve thrombosis: a tailored approach for a multiplex disease. J Heart Valve Dis. 2004;13(Suppl 1):S37-42.
The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333:1581–1587
Mokin M, Ansari SA, McTaggart RA Society of neuro interventional surgery indications for thrombectomy in acute ischemic stroke from emergent large vessel occlusion (ELVO): Report of the SNIS Standards and Guidelines Committee Journal of Neuro Interventional Surgery. 2019;11:215-220.
Tawil SE, Muir KW. Thrombolysis and thrombectomy for acute ischaemic stroke. Clin Med (Lond). 2017;17(2):161–165.