title: ﻿Thrombectomy and fibrinolytic therapy of prosthetic valve thrombosis complicated by coronary embolism.
abstract: Prosthetic valve thrombosis is rare; its complication by coronary embolism is even more uncommon and when present, often fatal. Here, we present a rare case of mechanical aortic valve thrombosis with coronary emboli presenting in cardiogenic shock, managed successfully using a hybrid approach of mechanical thrombectomy and intravenous fibrinolytic therapy.﻿
authors.affiliation: Division of Cardiovascular Medicine, Deborah Heart and Lung Center, Browns Mills, NJ 08015, USA. jcgeorgemd@hotmail.com
authors.forename: Jon C
authors.initials: JC
authors.lastname: George
authors.forename: David
authors.initials: D
authors.lastname: Buchanan
authors.forename: Jennifer
authors.initials: J
authors.lastname: Mazzoni
mesh_terms: D003131:Combined Modality Therapy; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D004617:Embolism / Q000150:complications* / Q000628:therapy; D005471:Fluoroscopy; D006331:Heart Diseases / Q000150:complications* / Q000628:therapy; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000150:complications / Q000628:therapy*; D017131:Thrombectomy / Q000379:methods*; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000150:complications* / Q000628:therapy*