case_images: PMC6134406_01
case_images: First fluoroscopy.. Notes: Normal motion in prosthetic aortic valve leaflets; fixation of one leaflet of the prosthetic pulmonary valve was observed.
case_images: imcrj-11-205Fig1.jpg
case_images: PMC6134406_01_imcrj-11-205Fig1.jpg
case_images: f1-imcrj-11-205
case_images: Fluoroscopy showed that although the prosthetic aortic valve (PAV) leaflets had normal motion, one of the leaflets of the prosthetic pulmonary valve (PPV) was fixed (Figure 1).
case_images: Second fluoroscopy.. Notes: This image was taken 48 hours after reteplase injection; partial, but not complete, improvement of valve mobility was observed.
case_images: imcrj-11-205Fig2.jpg
case_images: PMC6134406_01_imcrj-11-205Fig2.jpg
case_images: f2-imcrj-11-205
case_images: After 48 hours, fluoroscopy was repeated and it showed partial but not complete improvement of valve mobility (Figure 2); in echocardiography, PPG and MPG were 54 mmHg and 38 mmHg.
case_images: Third fluoroscopy.. Notes: Twelve hours after second reteplase injection: good and symmetrical opening of the prosthetic pulmonary valve leaflets was observed.
case_images: imcrj-11-205Fig3.jpg
case_images: PMC6134406_01_imcrj-11-205Fig3.jpg
case_images: f3-imcrj-11-205
case_images: Fluoroscopy after 12 hours showed good and symmetrical opening of the PPV leaflets (Figure 3).