Pierre-Claver Hounkpè, Francis Moïse Dossou, Moutawakilou Gomina Assoumanou, Luc Magloire Oké, Dominique Atchadé, Kémoko Osséni Bagnan
In November 2011, a 59 year-old female was admitted in the Intensive Care Unit (ICU) of the National University Teaching Hospital of Cotonou for acute r espiratory distress. She is an obese female with a history of hypertension, diabetes mellitus, and bea ring mechanical prosthetic mitral valve since 2006 for rheumatic heart disease. A prosthetic valve th rombosis was suspected based on elevated D-Dimers level, and was confirmed by a 2-D echocardiography and a CT angiography of the chest five days after the onset of symptoms. The patient underwent a suc cessful delayed thrombolysis with Tenecteplase on day-6 after the onset of her symptoms due to lim ited available pharmacologic options and equipment. Her clinical picture improved rapidly a fter thrombolysis as documented by her follow up echocardiography and CT scan.
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