Treatment for prosthetic valve thrombosis presenting with stroke:
Correct answer: c) Surgery
Surgery is the best option for prosthetic valve thrombosis presenting with stroke as thrombolysis is contraindicated. Thrombolysis is the best option for right sided prosthetic valve thrombosis. For very small left sided thrombi (less than 5 mm) intravenous heparin may be enough. Prosthetic valve thrombolysis carries the risk of thromboembolism including disabling stroke.