Mechanical Thrombectomy of an Obstructive Mechanical Mitral Valve Thrombus Using the FlowTriever Device With Embolic Protection: A Case Report
Asad Rizvi, Shane Metzler, Amir Malik, Farhan Ali · 2026
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Description
Asad Rizvi, Shane Metzler, Amir Malik, and Farhan Ali report a 2026 case of catheter removal of a clot jamming a mechanical heart valve. A 50-year-old woman with a mechanical mitral valve fitted in 2023 arrived breathless, with fluid on the lungs and shock needing a ventilator and pressure drugs. Ultrasound through the food pipe showed a large clot freezing one valve leaflet. Her clotting blood test was far below target despite reported adherence to warfarin, and brain bleeding history ruled out clot-dissolving drugs.
Repeat open surgery was judged prohibitive after two prior chest operations. The team used a large-bore aspiration system called FlowTriever, with protection against stray fragments, in what they describe as a first for this valve problem. Larger studies are requested.
Catalog record
| CREATOR | Asad Rizvi, Shane Metzler, Amir Malik, Farhan Ali |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 10785 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |