A rare cause of myocardial infarction: acute inferoposterior myocardial infarction after successful intravenous thrombolytic treatment of mechanical mitral prosthetic valve thrombosis.
Prosthetic valve thrombosis is a rare and dreaded complication of patients with mechanical valves, particularly those in the mitral position. A 45-year-old female with status post prosthetic mitral valve replacement was admitted to the hospital with acute pulmonary edema. Echocardiography showed mitral valve thrombosis which was treated with tissue plasminogen activator (t-PA). During t-PA infusion she developed acute inferoposterior myocardial infarction. Coronary angiography showed normal coronary arteries. Presented case had acute inferoposterior myocardial infarction secondary to coronary emboli after the successful thrombolytic treatment of prosthetic mitral valve thrombosis.
Altinbas
Ahmet
A
Department of Cardiology, Faculty of Medicine, Suleyman Demirel University, Sevket Demirel Kalp Merkezi, Isparta, 32100, Turkey. altinbas@hotmail.com
Kucuktepe
Zehra
Z
Ozaydin
Mehmet
M
Aslan
Suleyman Murat
SM
Demir
Mehmet
M
Altinbas
Emine
E
D004452:Echocardiography; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology*; D011654:Pulmonary Edema / Q000175:diagnosis / Q000188:drug therapy; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000175:diagnosis / Q000188:drug therapy*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator