Prosthetic aortic valve thrombosis complicated by left main coronary artery bifurcation embolism

Subtitle:case report and review of literature

Coronary embolism due to prosthetic valve thrombosis is a rare cause of acute coronary syndrome. We report the challenging case of a 66-year-old female patient with non-ST-elevation myocardial infarction caused by left main coronary artery bifurcation embolism in the setting of mechanical aortic valve thrombosis. The patient was treated with intravenous thrombolysis. Four hours later, she suffered an anterior ST-elevation myocardial infarction due to left anterior descending artery embolization. Repeat coronary angiogram showed complete disappearance of the LMCA embolus with only distal LAD occlusion. The patient was further treated medically with excellent outcome. (c) 2021 Elsevier Inc. All rights reserved.

Publication year:2021

Keywords:A1 Journal article

Accessibility:Open