Mechanical Prosthetic Aortic Valve Thrombosis Complicated by an Acute Coronary Syndrome During Fibrinolysis

Autor: Nadeen N. Faza, Nadim Zacca, Neal S. Kleiman, Stephen H. Little, Joe Aoun, Jean Pierre Assaker
Rok vydání: 2020
Předmět:
mitral valve
0301 basic medicine
Aortic valve
thrombolysis
medicine.medical_specialty
Acute coronary syndrome
DVI
dimensionless valve index
medicine.medical_treatment
TTE
transthoracic echocardiogram
Case Report
030105 genetics & heredity
TIMI
Thrombolysis In Myocardial Infarction
acute coronary syndrome
LAD
left anterior descending
t-PA
tissue-type plasminogen activator
03 medical and health sciences
0302 clinical medicine
Clinical Case
Internal medicine
Mitral valve
Fibrinolysis
Diseases of the circulatory (Cardiovascular) system
Medicine
NYHA
New York Heart Association
Thrombus
AV
aortic valve
left-sided prosthetic valve thrombosis
coronary embolism
TEE
transesophageal echocardiogram
business.industry
INR
international normalized ratio
Thrombolysis
medicine.disease
Coronary embolism
aortic valve
Thrombosis
medicine.anatomical_structure
thrombus
RC666-701
cardiovascular system
Cardiology
ACS
acute coronary syndrome
fibrinolysis
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
PVT
prosthetic valve thrombosis
Zdroj: JACC: Case Reports, Vol 2, Iss 14, Pp 2186-2190 (2020)
JACC Case Reports
ISSN: 2666-0849
Popis: A 70-year-old man with mechanical aortic and mitral valves was admitted with progressive shortness of breath. He was found to have thrombosis of the aortic valve prosthesis. Treatment with intravenous thrombolysis was complicated by an acute coronary syndrome related to coronary embolism. The patient was successfully managed conservatively with long-term anticoagulation. An algorithm for the management of coronary embolism is suggested. (Level of Difficulty: Advanced.)
Graphical abstract
Databáze: OpenAIRE
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