María del Pilar Sáez Rosas, Antonio Enrique Gómez Menchero, María Jessica Roa Garrido, José Francisco Díaz Fernández
{"title":"Embolismo coronario múltiple en paciente con doble prótesis aórtica y mitral","authors":"María del Pilar Sáez Rosas, Antonio Enrique Gómez Menchero, María Jessica Roa Garrido, José Francisco Díaz Fernández","doi":"10.1016/j.carcor.2016.11.002","DOIUrl":null,"url":null,"abstract":"<div><p>We present a case about a 55 years old woman with aortic and mitral mechanical prosthesic valve. She had a stroke related to anticoagulation underdosing nine years ago. She has an inferior acute myocardial infarction (AMI) with ST elevation, with thrombotic coronary occlusions suggestive of multiple coronary embolism from non occlusive mitral valve thrombosis confirmed by echocardiography. We give undue emphasis to the importance of diagnostic coronary embolism suspicion in patients with prosthesis and coronary angiography without significant coronary lesions as well as the role the intracoronary imaging techniques (IVUS and OCT) play to complete the diagnosis.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 2","pages":"Pages 79-81"},"PeriodicalIF":0.0000,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2016.11.002","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiocore","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1889898X16300901","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
We present a case about a 55 years old woman with aortic and mitral mechanical prosthesic valve. She had a stroke related to anticoagulation underdosing nine years ago. She has an inferior acute myocardial infarction (AMI) with ST elevation, with thrombotic coronary occlusions suggestive of multiple coronary embolism from non occlusive mitral valve thrombosis confirmed by echocardiography. We give undue emphasis to the importance of diagnostic coronary embolism suspicion in patients with prosthesis and coronary angiography without significant coronary lesions as well as the role the intracoronary imaging techniques (IVUS and OCT) play to complete the diagnosis.
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