title: Unstable angina secondary to left main coronary thrombus extending from prosthetic aortic valve.
abstract: Embolic complications due to prosthetic heart valves are common. The present report documents a left main coronary artery thrombus extending from a Starr Edward's aortic ball valve prosthesis 22 years after its placement. It resulted in unstable angina and a small myocardial infarction. This rare complication illustrates the importance of adequate anticoagulation.
authors.affiliation: Memorial Hospital, Department of Internal Medicine, University of North Carolina, Chapel Hill 27514.
authors.forename: A
authors.initials: A
authors.lastname: Jain
authors.forename: G J
authors.initials: GJ
authors.lastname: Mazanek
authors.forename: J M
authors.initials: JM
authors.lastname: Armitage
mesh_terms: D000328:Adult; D000787:Angina Pectoris / Q000209:etiology*; D000789:Angina, Unstable / Q000209:etiology*; D001021:Aortic Valve; D003327:Coronary Disease / Q000175:diagnosis*; D003328:Coronary Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology / Q000517:prevention & control; D014859:Warfarin / Q000627:therapeutic use*
chemical_list: D014859:Warfarin