title: Successful management of left main coronary artery thrombus with intracoronary thrombolysis.
abstract: The management of valvular heart diseases with mechanical valves has been performed for several years. Warfarin has been used in patients with mechanical heart valves to protect against thromboembolic complications; nevertheless, in these patients, thromboembolic event rates range from 0.5% to 1.7%. Acute occlusive embolism to the coronary arteries due to a mechanical valve is an uncommon occurrence. In this report, we present a case of a left coronary system occlusion due to thrombus embolization from a prosthetic aortic valve, which was successfully treated by thrombolytic therapy.
authors: Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Hospital, İstanbul, Turkey. drufukgurkan@gmail.com.
authors: Ufuk
authors: U
authors: Gürkan
authors: Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Hospital, İstanbul, Turkey.
authors: Mustafa Adem
authors: MA
authors: Tatlısu
authors: Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Hospital, İstanbul, Turkey.
authors: Emre
authors: E
authors: Aruğaslan
authors: Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Hospital, İstanbul, Turkey.
authors: Osman
authors: O
authors: Bolca
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D001021:Aortic Valve; D017023:Coronary Angiography; D003331:Coronary Vessels; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D019918:Heart Valve Prosthesis Implantation; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage
chemical_list: D005343:Fibrinolytic Agents; D006493:Heparin; D010959:Tissue Plasminogen Activator