Key result
Urgent fibrinolytics and valve replacement resolve acute mechanical valve thrombosis mimicking MI in hypereosinophilic syndrome.
Case Report (n=1)
No
This case report describes a presentation of acute mechanical valve thrombosis in a patient with multiple prosthetic valves and ulcerative colitis.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to valve thrombosis in hypereosinophilic MI mimics; leaves open optimal management beyond this single case.
A 65-year-old caucasian man with a history of aortic valve replacement with a St. Jude bi-leaflet mechanical prosthesis in 1984, mitral valve replacement in 2004 with Edwards Starr Ball and Cage prosthesis, atrial fibrillation and ulcerative colitis presented to our emergency department with central chest pain radiating to his jaw with associated diaphoresis and nausea. Symptom onset was an hour pre-admission.
No takes yet. Share an insight, caveat, or question.
Zain et al. (2018) conducted a case report in Acute mechanical valve thrombosis (n=1). Alteplase and valve replacement was evaluated. Urgent fibrinolytic therapy followed by valve replacement successfully treated acute mechanical valve thrombosis masquerading as myocardial infarction in a patient with hypereosinophilic syndrome.
Synapse has enriched 10 related papers. Consider them for comparative context: