Fibrinolysis in a patient suffering from thrombosis of valve prosthesis: Cases and literatare review

Abstract

Rheumatic heart disease and rheumatic fever are the main diseases affecting the heart valves and progressing to replace them. There are many variants in the design of prosthetic valves and their durability.  However, the prosthetic valve obstruction remains a complication with high mortality risk. For this reason, different therapeutic and surgical strategies, like thrombolysis therapy versus surgery, are proposed which despite evidence it remains a controversial issue to approach a patient.  Here is a clinic case of a 15-year-old patient who underwent diagnosis of dual valve thrombosis who is subsequently taken to fibrinolysis and taking streptokinase without complication and subsequent management with anticoagulation ambulatory therapy.