myocardial infarction in a patient with prosthetic aortic valve
نویسندگان
چکیده
a 45- year old man with a history of aortic valve replacement presented with acute chest pain which was diagnosed to be anterior wall myocardial infarction. he received thrombolytic therapy with streptokinase. echocardiography and fluoroscopy showed normally functioning ball and cage aortic prosthesis. coronary arteriography showed globular filling defect in midportion of left anterior descending coronary artery, most probably embolized thrombus. the patient underwent medical treatment especially warfarin with higher range of inr without any intervention. he had a smooth in-hospital course and uneventful recovery.
منابع مشابه
A rare case of prosthetic aortic valve endocarditis complicated with multiple fistula to peri aortic structure
Multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. The case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. A brief review of surgical reconstruction and the existing literature are presented, i...
متن کاملAcute inferior myocardial infarction in a patient with a prosthetic aortic valve and high international normalized ratio
ST elevation acute myocardial infarction in patients with a mechanical prosthetic valve is rare and usually due to inadequate anticoagulation. We present a case of acute inferior myocardial infarction in a patient with a prosthetic aortic valve and high international normalized ratio, which has not been reported previously.
متن کاملA rare cause of myocardial infarction: coronary embolism in a patient with prosthetic mitral valve thrombosis.
The incidence of systemic embolization with mechanical valves is 1% per year [1]. Most cases present as cerebrovascular events. As the incidence of mechanical valve surgery has increased in recent years, systemic thromboembolism has become an important problem. Although coronary embolism due to mechanical valve thrombosis is encountered rarely, it is an important and serious complication. We re...
متن کاملSpontaneous Spinal Epidural Hematoma in a Patient With a Prosthetic Valve
Spontaneous Spinal Epidural Hematoma (SSEH) is a rare spinal condition. Early surgical intervention is generally indicated to prevent serious permanent neurological deficits. We encountered a case of spontaneous spinal epidural hematomas associated with motor weakness that was treated successfully by surgical evacuation.
متن کاملMyocardial damage of the entire ventricular region in a patient with acute myocardial infarction
Technetium-99m-pyrophosphate (99mTc-PYP) has been used, in combination with thallium-201, to estimate the site and extent of myocardial infarcts. We report a case of acute myocardial infarction with severe coronary disease in which the distribution of 99mTc-PYP was extensive. A 78-year-old man presented with dyspnea, and a diagnosis of non-ST-segment elevation acute myocar...
متن کاملAcute Myocardial Infarction due to Coronary Artery Embolism in a Patient with Mechanical Aortic Valve Prosthesis
Previous cases of coronary embolism as a cause of myocardial infarction (MI) in association with prosthetic mechanical valves have been reported, but the fact that the patient was not aware of the importance of maintaining anticoagulation therapy is relevant in this case. A 16-year-old female was referred for primary coronary intervention due to subacute anterolateral ST elevation MI, after she...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
the journal of tehran university heart centerجلد ۱، شماره ۳، صفحات ۱۶۷-۱۷۰
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023