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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2003, Number 2

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An Med Asoc Med Hosp ABC 2003; 48 (2)

Thrombolysis with recombinant tissue plasminogen for cerebral vascular episode in a patient with a Bjork-Shiley aortic prosthesis valve

León M, Gloss G, Lijtszain C, Zambito BGF, Domínguez GLR
Full text How to cite this article

Language: Spanish
References: 22
Page: 118-123
PDF size: 53.82 Kb.


Key words:

Thrombolysis, EVC, heart valve prosthesis, recombinant tissue plasminogen activator, r-TPA.

ABSTRACT

Stroke is a leading cause of death in young persons and adults when it is associated with a mechanical heart valve prosthesis, the risk is even higher. Thrombolytic agents are a particular choice of therapy when cardioembolism is documented. The aim is reestablish the cerebral blood flow and recovery of the neurological function, “time is Brain”. We present the case of a 45 years old male with an aortic Bjork-Shiley prosthesis who came to the hospital with an ischemic stroke due to cardioembolism. He was treated with r-TPA successfully and without complications. It is important to warning and notice all patients with a Bjork-Shiley prosthesis because the risk of rupture of the strut.


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An Med Asoc Med Hosp ABC. 2003;48