Embolic ST-segment elevation myocardial infarction following aortic prosthetic valve replacement: Diagnosis and management issues
| Autor: | Deepak Ramchand Nenwani, C. Elangovan, P. M. Nageshwaran, S. Venkatesan, M. Nanda Kumaran, J Cecilly Mary Majella |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Aortic valve
medicine.medical_specialty tilting disc metallic valve Chest pain Left coronary artery Aortic valve replacement medicine.artery Internal medicine rare case medicine ST segment Diseases of the circulatory (Cardiovascular) system aortic valve replacement Myocardial infarction cardiovascular diseases Thrombus st-segment elevation myocardial infarction coronary embolism business.industry medicine.disease medicine.anatomical_structure Right coronary artery RC666-701 Cardiology cardiovascular system medicine.symptom business |
| Zdroj: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging, Vol 4, Iss 1, Pp 39-41 (2020) |
| ISSN: | 2543-1471 2543-1463 |
| Popis: | Acute thromboembolism resulting in ST-segment elevation myocardial infarction years after aortic valve replacement (AVR) is an uncommon occurrence. 38 years old female admitted with chest pain of 8 hours duration. Patient had history of Aortic valve replacement 3 years. Patient on evaluation found to have infero-lateral wall myocardial infarction. Coronary angiography (CAG) was done, which showed occlusive thrombus in the left coronary artery. The left circumflex artery after second obtuse marginal branch had total occlusion, and distal left anterior descending had total occlusion with thrombus containing lesion, whereas the right coronary artery was normal. The patient was thrombolyzed with intravenous streptokinase 1.5 mIU over 30 min infusion with door-to-needle time of 75 min. Pre- and postprocedure echocardiogram showed no evidence of thrombus. Gradient across the aortic valve and mobility was within the normal limits. Check CAG after 7 days showed resolution of thrombus burden in coronaries. |
| Databáze: | OpenAIRE |
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