%0 Journal Article
%T Tromb車lisis eficaz en un ni o con trombosis de pr車tesis de St Jude en posici車n a車rtica. Reporte de un caso. Efficient thrombolisis in a boy with thrombosis of St. Jude＊s prosthesis in aortic position. A case report.
%A Fidel Manuel C芍ceres L車riga
%A Horacio P谷rez L車pez
%A Karel Morlans Hern芍ndez
%A Mar赤a Acelia Marrero Mirayaga
%J Revista Cubana de Cardiolog赤a y Cirug赤a Cardiovascular
%D 2001
%I ECIMED
%X Se presenta un paciente de 13 a os, con disfunci車n de pr車tesis valvular por trombosis de una pr車tesis de St. Jude en posici車n a車rtica. Por el alto riesgo quir迆rgico, fue sometido a tratamiento trombol赤tico con Estreptoquinasa Recombinante por v赤a sist谷mica, con nuestra metodolog赤a de bajas dosis y tiempo m芍s prolongado. El diagn車stico y seguimiento de la terap谷utica se realiz車 por ecocardiograf赤a doppler transtor芍cico; mediante esta t谷cnica se precis車 el 谷xito de la tromb車lisis.A l3-year-old patient with dysfunction of the valvular prosthesis due to thrombosis of a St. Jude＊s prosthesis in aortic position is presented. Taking into account the high surgical risk, he underwent thrombolytic therapy with Recombinant Streptochinase by systemic route with our methodology of low doses and longer time. The diagnosis and follow-up of the therapeutics was made by transthoracic Doppler echocardiography. By using this technique, it was possible to determine the success of thrombolisis.
%K PROTESIS VALVULARES CARDIACAS
%K ECOCARDIOGRAFIA DE DOPPLER
%K TERAPIA TROMBOLITICA
%K HEART VALVE PROSTHESIS
%K ECHOCARDIOGRAPHY
%K DOPPLER
%K THROMBOLYTIC THERAPY.
%U http://bvs.sld.cu/revistas/car/vol15_1_01/car10101.htm