Acute ST-elevation inferior myocardial infarction in a patient with a non-obstructive mechanical mitral valve thrombosis


Aykan A. C. , Ozkan M., Duran N. E. , Yildiz M.

CARDIOVASCULAR JOURNAL OF AFRICA, vol.23, no.9, 2012 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 9
  • Publication Date: 2012
  • Doi Number: 10.5830/cvja-2012-047
  • Title of Journal : CARDIOVASCULAR JOURNAL OF AFRICA

Abstract

The risk of systemic embolisation in patients with prosthetic heart valves who are receiving anticoagulation therapy is 0.5 to 1.7% per patient year and most cases present with cerebrovascular events. Here we report the case of a 42-year-old woman who was uneventfully treated with a low dose, prolonged infusion of tissue plasminogen activator because of non-obstructive prosthetic mitral valve thrombosis. It presented as coronary embolism and resulted in acute ST-elevation inferior myocardial infarction.