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Asian Cardiovasc Thorac Ann 2002;10:181-183
© 2002 Asia Publishing EXchange Pte Ltd

CASE STUDY

St. Jude Medical Valve in Pulmonary Position: Anticoagulation and Thrombosis

Feza Nurozler, MD, Scott M Bradley, MD

Division of Cardiothoracic Surgery Medical University of South Carolina Charleston, South Carolina, USA
Feza Nurozler, MD Tel: 90 533 332 3088 Fax: 90 322 458 5451 email: feza_n{at}hotmail.com Division of Cardiovascular Surgery, Ortadog u Hospital, Ziyapasa Mah. 51. Sok No. 1, Seyhan, Adana 01140, Turkey.
Between 1979 and 1985, 5 patients underwent pulmonary valve replacement with a St. Jude Medical valve. During follow-up ranging from 30 months to 18 years, there were 6 episodes of valve thrombosis in 4 patients. Three episodes were treated by thrombolysis. Reoperation was necessary in 3 patients. Although the St. Jude Medical valve in the pulmonary position can occasionally function long-term without anticoagulation, these cases show the high risk of thrombosis and need for anticoagulation.




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