Thrombus Formation on the Tricuspid Valve After De Vega’s Annuloplasty and Repair of Endocardial Cushion Defect

Efe, Süleyman Çağan; Unkun, Tuba; İzcı, Servet; Çap, Murat; Bakal, Ruken Bengi; Acar, Rezzan Deniz; Geçmen, Çetin; Erdoğan, Emrah; Özdemir, Nihal

doi:10.15171/jcvtr.2014.012

“…10 In case of previous cardiac surgery, the presence of prosthetic material can orient the aetiological diagnosis toward the presence of a thrombus. 2,3 Nevertheless, all other causes cannot be excluded, especially when the mass presents years after the operation.…”

Section: Discussionmentioning

confidence: 99%

“…Intracardiac masses may arise also in patients that underwent previous cardiac surgery with implantation of valve prosthesis or valve repair. 2,3 Herein, we report a case of a girl that underwent triple valve surgery and was diagnosed with a right atrial mass more than three years after the indexed operation. This case report follows the CARE guidelines.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Abbass¹,

Mariani²,

Musa³

et al. 2023

F1000Res

1

0

View full text Add to dashboard Cite

Background: Occurrence of right atrial masses, especially in patients with history of cardiac surgery, is rare. Differential diagnosis between malignant and non-malignant aetiologies might be cumbersome, and surgery is often required to prevent complications or disease evolution. Case: We report the case of a 16-year-old girl from a rural area of Sudan, who underwent surgery for a modified De Vega’s tricuspid annuloplasty, and mitral and aortic valve replacement with mechanical prostheses. The patient was on regular follow-up but demonstrated a poor compliance to anticoagulation therapy with a time in therapeutic range between 52% and 20%. She remained asymptomatic, but a right atrial mass was diagnosed by transthoracic echocardiography during a follow-up visit 41 months after the first operation. Surgical removal of the mass revealed an organized thrombus arising from the point where the Prolene stitches for the tricuspid annuloplasty were previously passed. The patient recovered from surgery, was discharged home on post-operative day 10 and the first follow-up visit at 30 days after discharge confirmed a good clinical status and a normal transthoracic echocardiography (TTE). Conclusions: This case report describes the diagnostic and therapeutic work-out of a thrombus formation on the suture lines of a tricuspid annuloplasty. Moreover, it highlights the importance of a strict and long follow-up after valvular surgery and of the adherence to anticoagulation therapy, especially for patients living in rural areas of developing countries.

show abstract

“… 11 In case of previous cardiac surgery, the presence of prosthetic material can orient the aetiological diagnosis toward the presence of a thrombus. 2 , 3 Nevertheless, all other causes cannot be excluded, especially when the mass presents years after the operation.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Abbass¹,

Mariani²,

Musa³

et al. 2023

F1000Res

1

0

View full text Add to dashboard Cite

Background: Occurrence of right atrial masses, especially in patients with history of cardiac surgery, is rare. Differential diagnosis between malignant and non-malignant aetiologies might be cumbersome, and surgery is often required to prevent complications or disease evolution. Case: We report the case of a 16-year-old girl from a rural area of Sudan, who underwent surgery for a modified De Vega’s tricuspid annuloplasty, and mitral and aortic valve replacement with mechanical prostheses. The patient was on regular follow-up but demonstrated a poor compliance to anticoagulation therapy with a time in therapeutic range between 52% and 20%. She remained asymptomatic, but a right atrial mass was diagnosed by transthoracic echocardiography during a follow-up visit 41 months after the first operation. Surgical removal of the mass revealed an organized thrombus arising from the point where the Prolene stitches for the tricuspid annuloplasty were previously passed. The patient recovered from surgery, was discharged home on post-operative day 10 and the first follow-up visit at 30 days after discharge confirmed a good clinical status and a normal transthoracic echocardiography (TTE). Conclusions: This case report describes the diagnostic and therapeutic work-out of a thrombus formation on the suture lines of a tricuspid annuloplasty. Moreover, it highlights the importance of a strict and long follow-up after valvular surgery and of the adherence to anticoagulation therapy, especially for patients living in rural areas of developing countries.

show abstract

Intracardiac Thrombus Associated With DeVega Tricuspid Valve Repair Following Heart Transplantation

Shah,

Yamat,

Lang

et al. 2024

JACC: Case Reports

0

View full text Add to dashboard Cite

Thrombus Formation on the Tricuspid Valve After De Vega’s Annuloplasty and Repair of Endocardial Cushion Defect

Cited by 3 publications

References 6 publications

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Case Report: Right atrial organized thrombus three years after tricuspid annuloplasty

Intracardiac Thrombus Associated With DeVega Tricuspid Valve Repair Following Heart Transplantation

Contact Info

Product

Resources

About