A rare cause of myocardial infarction: acute inferoposterior myocardial infarction after successful intravenous thrombolytic treatment of mechanical mitral prosthetic valve thrombosis


Altinbas A., Kucuktepe Z., Ozaydin M., Aslan S., Demir M., Altinbas E.

INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, vol.21, no.5, pp.509-512, 2005 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 5
  • Publication Date: 2005
  • Doi Number: 10.1007/s10554-004-8331-1
  • Title of Journal : INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
  • Page Numbers: pp.509-512

Abstract

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.