Key result
PCI and IV alteplase resolve acute MI from coronary embolism following mechanical aortic valve replacement.
Why the study?
Prosthetic valve thrombosis in the aortic valve complicated by coronary embolism is very rare, and its diagnosis and treatment are challenging.
Case Report (n=1)
No
Coronary embolism due to prosthetic valve thrombosis can occur even with therapeutic INR levels and can be successfully managed with a combination of PCI and systemic thrombolysis.
May support combined PCI and thrombolysis for post-AVR coronary embolism; hypothesis-generating from single case report.
Prosthetic valve thrombosis in aortic valve and its complication coronary embolism is a very rare condition. Diagnosis and treatment process is challenging. We present a young patient with acute myocardial infarction who underwent mechanical aortic valve replacement operation one month earlier. Primary coronary intervention was performed and it was succesful. Transeasophageal ecocardiography was performed. Thrombus was seen on the mechanical aortic valve and thrombolytic therapy was initiated. Control TEE was performed and there was no signs of thrombi. The patient was discharged.
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Kuş et al. (2023) conducted a case report in Acute myocardial infarction due to coronary embolism (n=1). Primary coronary intervention and intravenous alteplase was evaluated. Primary coronary intervention and intravenous alteplase successfully treated a 39-year-old man presenting with acute myocardial infarction due to coronary embolism one month after mechanical aortic valve replacement.
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