title: Acute coronary syndrome in two patients with mechanical valve prostheses.
abstract: We report 2 similar cases of embolic myocardial infarction due to thrombus on a mechanical prosthesis despite anticoagulation therapy. In our first case, aspiration of the thrombus was performed successfully. Our second patient was given medical treatment with target international normalized ratio values between 3.5 and 4.0.
authors.affiliation: Department of Cardiology, Tepecik Training and Research Hospital, Izmir, Turkey.
authors.forename: Dayimi
authors.initials: D
authors.lastname: Kaya
authors.affiliation: Department of Internal Medicine, Tepecik Training and Research Hospital, Izmir, Turkey alperalp20@hotmail.com.
authors.forename: Alper
authors.initials: A
authors.lastname: Alp
authors.affiliation: Family Physician Department, Tepecik Training and Research Hospital, Izmir, Turkey.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Elbi
authors.affiliation: Department of Pathology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Kupelioglu
authors.affiliation: Department of Cardiology, Tepecik Training and Research Hospital, Izmir, Turkey.
authors.forename: Oner
authors.initials: O
authors.lastname: Ozdogan
mesh_terms: D054058:Acute Coronary Syndrome / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000925:Anticoagulants / Q000627:therapeutic use; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D001706:Biopsy; D001777:Blood Coagulation / Q000187:drug effects; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000145:classification* / Q000295:instrumentation*; D006801:Humans; D019934:International Normalized Ratio; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011237:Predictive Value of Tests; D011474:Prosthesis Design; D013396:Suction; D017131:Thrombectomy / Q000379:methods; D013927:Thrombosis / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000925:Anticoagulants
keywords: Acute coronary syndrome; Anticoagulants; Coronary thrombosis; Heart valve diseases; Heart valve prosthesis implantation