Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access |
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc |
Journal website http://www.cardiologyres.org |
Review
Volume 9, Number 6, December 2018, pages 335-342
Bioprosthetic Valve Thrombosis
Tables
Patient factors | Valve/surgical factors | Rheolytic factors |
---|---|---|
BPVT: bioprosthetic valve thrombosis; VA-ECMO: venoarterial extracorporeal membrane oxygenation; VIV: valve-in-valve; TAVR: transcatheter aortic valve replacement. | ||
High body mass index | Small valve size | Lack of anticoagulation, |
Female gender | TAVR valve-in-valve (VIV) | Hypercoagulability |
Atrial fibrillation | Suboptimal valve placement (TAVR) | Eosinophilia |
Atrial dilatation | Non-resection of native valve | Oral contraceptives |
low cardiac function | Aortic root morphology | Polycythemia |
VA-ECMO | Calcified aortic annulus | HIT |
Calcium supplements | Fondaparinux | |
Kounis syndrome |
BPVT: bioprosthetic valve thrombosis; TVG: transvalvular gradient; INR: international normalized ratio. |
≥ 50% TVG increase from baseline within 5 years of surgery without high cardiac output |
Increase cusp thickening (> 2 mm) especially on the downstream aspect of the valve |
Abnormal cusp mobility |
Paroxysmal atrial fibrillation |
Subtherapeutic INR |