Wolf in wolf's clothing--a case of prosthetic aortic valve thrombosis presenting as an acute coronary syndrome.
Mechanical prosthetic valve thrombosis (PVT) is a potentially life threatening event that occurs with an incidence of 0.2% per patient year following aortic valve replacement [Lengyel M, Fuster V, Keltal M, et al. Guidelines for management of left-sided prosthetic valve thrombosis: a role for thrombolytic therapy. J Am Coll Cardiol 1997;30:1521-6]. We present the case of a middle-aged man with thrombosis of his aortic valve prosthesis mimicking an acute coronary syndrome. The patient received thrombolytic therapy with subsequent embolism of thrombotic debris to the leg.
Bridgman
John C
JC
Flinders Medical Centre, Cardiac Services and Critical Care, Flinders Drive, Bedford Park, SA 5042, Australia. cameronbridgman@hotmail.com <cameronbridgman@hotmail.com>
Chik
William
W
Heddle
William
W
D000208:Acute Disease; D001024:Aortic Valve Stenosis / Q000601:surgery; D003327:Coronary Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D013577:Syndrome; D013927:Thrombosis / Q000175:diagnosis* / Q000209:etiology; D014057:Tomography, X-Ray Computed