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

doi:10.1016/j.jaccas.2020.08.029

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 journal › Article › peer-review

5 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 language	English (US)
Pages (from-to)	2186-2190
Number of pages	5
Journal	JACC: Case Reports
Volume	2
Issue number	14
DOIs	https://doi.org/10.1016/j.jaccas.2020.08.029
State	Published - 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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10.1016/j.jaccas.2020.08.029

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title = "Mechanical Prosthetic Aortic Valve Thrombosis Complicated by an Acute Coronary Syndrome During Fibrinolysis",

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.)",

keywords = "acute coronary syndrome, aortic valve, coronary embolism, fibrinolysis, left-sided prosthetic valve thrombosis, mitral valve, thrombolysis, thrombus",

author = "Joe Aoun and Assaker, {Jean Pierre} and Nadeen Faza and Kleiman, {Neal S.} and Nadim Zacca and Little, {Stephen H.}",

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doi = "10.1016/j.jaccas.2020.08.029",

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T1 - Mechanical Prosthetic Aortic Valve Thrombosis Complicated by an Acute Coronary Syndrome During Fibrinolysis

AU - Aoun, Joe

AU - Assaker, Jean Pierre

AU - Faza, Nadeen

AU - Kleiman, Neal S.

AU - Zacca, Nadim

AU - Little, Stephen H.

PY - 2020/11/18

Y1 - 2020/11/18

N2 - 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.)

AB - 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.)

KW - acute coronary syndrome

KW - aortic valve

KW - coronary embolism

KW - fibrinolysis

KW - left-sided prosthetic valve thrombosis

KW - mitral valve

KW - thrombolysis

KW - thrombus

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VL - 2

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JO - JACC: Case Reports

JF - JACC: Case Reports

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ER -

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

Abstract

Keywords

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