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

Joe Aoun, Jean Pierre Assaker, Nadeen Faza, Neal S. Kleiman, Nadim Zacca, Stephen H. Little

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

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.)

Original languageEnglish (US)
Pages (from-to)2186-2190
Number of pages5
JournalJACC: Case Reports
Volume2
Issue number14
DOIs
StatePublished - Nov 18 2020

Keywords

  • acute coronary syndrome
  • aortic valve
  • coronary embolism
  • fibrinolysis
  • left-sided prosthetic valve thrombosis
  • mitral valve
  • thrombolysis
  • thrombus

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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