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Acute Myocardial Infarction due to Coronary Artery Embolism in a Patient with Mechanical Aortic Valve Prosthesis.

التفاصيل البيبلوغرافية
العنوان: Acute Myocardial Infarction due to Coronary Artery Embolism in a Patient with Mechanical Aortic Valve Prosthesis.
المؤلفون: Nakazone MA; Department of Cardiology and Cardiovascular Surgery, São José do Rio Preto Medical School, CEP 15090-000, São José do Rio Preto, SP, Brazil., Tavares BG, Machado MN, Maia LN
المصدر: Case reports in medicine [Case Rep Med] 2010; Vol. 2010, pp. 751857. Date of Electronic Publication: 2010 Jun 14.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Hindawi Pub. Corp Country of Publication: United States NLM ID: 101512910 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1687-9635 (Electronic) NLM ISO Abbreviation: Case Rep Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Hindawi Pub. Corp.
مستخلص: Previous cases of coronary embolism as a cause of myocardial infarction (MI) in association with prosthetic mechanical valves have been reported, but the fact that the patient was not aware of the importance of maintaining anticoagulation therapy is relevant in this case. A 16-year-old female was referred for primary coronary intervention due to subacute anterolateral ST elevation MI, after she decided to discontinue warfarin therapy three weeks before. Coronary angiography showed distal occlusion of the left anterior descending coronary artery with an image suggesting embolic material. Conventional echocardiography demonstrated akinesia of anteroseptal, inferior, and posterior segments of the left ventricle, with severe systolic dysfunction, beyond the intraventricular thrombus. The presence of mechanic aortic prosthesis and no anticoagulation therapy are highly suggestive of coronary embolism as the cause of MI. This case report confirms that patient education is vital in our struggle to prevent this complication in high-risk patients.
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تواريخ الأحداث: Date Created: 20100702 Date Completed: 20110714 Latest Revision: 20211020
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC2892696
DOI: 10.1155/2010/751857
PMID: 20592990
قاعدة البيانات: MEDLINE
الوصف
تدمد:1687-9635
DOI:10.1155/2010/751857