BACKGROUND: @entity715 of a mechanical tricuspid valve prosthesis is a potentially hazardous event. This study aimed to explore the incidence and the clinical presentation of tricuspid valve @entity715 occurring in bileaflet valves and to evaluate the diagnostic and the therapeutic approach. METHODS AND RESULTS: Tricuspid valve @entity715 was sought in 22 late survivors with the CarboMedics valve in a follow-up period of 36.0 +/- 20.8 months. Limited leaflet motion and/or a visible @entity715 were considered diagnostic of valve @entity715 . Eight episodes of tricuspid valve @entity715 were diagnosed among 5 @entity1 (12.1 episodes per 100 patient-years). Anticoagulation was inadequate in 3 @entity1 and fair in 2. Florid right @entity712 occurred in 3 episodes. Common physical findings included @entity1211 (5 @entity1 ), diastolic tricuspid murmur (4 @entity1 ), and peripheral @entity4 (4 @entity1 ). The diagnosis was suspected in all clinically and by transthoracic echocardiography and confirmed by fluoroscopy and/or transesophageal echocardiography. In 4 @entity1 , both leaflets were involved. No thrombi were visualized. Three @entity1 received thrombolytic therapy in 4 episodes (complete success in 3, partial success in 1) without @entity548 . One @entity1 responded to aggressive anticoagulant therapy. One @entity1 required an emergent repeat surgery. In 1 @entity1 , valve @entity715 recurred thrice. CONCLUSIONS: In @entity1 with fair or poor anticoagulation, a bileaflet valve in the tricuspid position is associated with a high incidence of valve @entity715 . Hinge entrapment requires only a small amount of @entity715 material. Valve @entity715 may be asymptomatic. Involvement of both leaflets is usually required to produce symptoms. A nonsurgical approach (thrombolysis or intensified anticoagulation) is usually successful. @entity1 should be instructed about heralding signs of valve @entity715 .

XXXX of bileaflet tricuspid valve prosthesis: clinical spectrum and the role of nonsurgical treatment.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity712 :: ('MESH:D006333', 'Disease') :: ['heart failure'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhagic or embolic complications'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus', 'thrombosis', 'thrombotic', 'Thrombosis'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['increased jugular venous pulse']
@entity715 :: (MESH:D013927,Disease) :: ['Thrombosis']
