[Embolism of the anterior descending artery as a cause of myocardial infarct in a patient with a prosthetic aortic valve].
A patient aged 42 with the aortic valve prosthesis was examined with the help of coronography and ultrasonic scanning of the heart in the period of ischemic injury of the anterior myocardium: occlusion of the unchanged anterior descending artery by an embolus formed on the artificial cardiac valve was revealed. Despite rapid recovery of arterial permeability (3 h 47 min, after the onset of disease) by intracoronary administration of streptase with subsequent anticoagulant and antiplatelet drug therapy the patient developed anterior myocardial infarction with left ventricular aneurysm and intracardiac thrombosis.
Karpov
Iu A
IuA
Samko
A N
AN
Chikvashvili
D I
DI
Sivtseva
A I
AI
Bakashvili
N G
NG
D000328:Adult; D001021:Aortic Valve; D003327:Coronary Disease / Q000150:complications*; D003328:Coronary Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003331:Coronary Vessels; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D006350:Heart Valve Prosthesis; D006801:Humans; D007261:Infusions, Intra-Arterial; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D012214:Rheumatic Heart Disease / Q000150:complications / Q000601:surgery; D013300:Streptokinase / Q000008:administration & dosage; D013997:Time Factors
D013300:Streptokinase
Emboliia peredeneĭ niskhodiashcheĭ arterii kak prichina infarkta miokarda u bol'nogo s protezom aortal'nogo klapana.