Kürşat TİGEN, Murat SÜNBÜL, Mehmet BOZBAY, Batur Gönenç KANAR, Ashok PAUDEL, İbrahim SARI

Myocardial infarction related to coronary embolism in a patient with prosthetic mitral valve thrombosis demonstrated by three- dimensional transesophageal echocardiography

Mekanik kapaklarla birlikte sistemik emboli insidansı yıllık %1'dir. Bakteriyel endokardit, kalp kapak hastalığı, kardiyomiyopatiler, atriyal miksoma, kardiyak aritmiler ve akut koroner sendrom koroner embolinin sebeblerindendir. Mekanik kapak trombozuna bağlı koroner emboli nadir görülmesine rağmen, önemli ve ciddi bir komplikasyondur. Koroner embolinin kanıta dayalı etkili bir tedavi ve yönetimi yoktur. Burada mekanik mitral kapak trombozuna bağlı koroner embolininin neden olduğu bir akut miyokard enfarktüsü vakası sunduk

Üç boyutlu transözofageal ekokardiyografi ile gösterilmiş protez mitral kapak trombüsü olan bir hastada koroner emboliye bağlı miyokard infarktüsü

The incidence of systemic embolization with mechanical valves is 1% per year. Bacterial endocarditis, valvular heart disease, cardiomyopathies, atrial myxoma, cardiac arrhythmias, and acute coronary syndrome are the causes of coronary embolism. Although coronary embolism due to mechanical valve thrombosis is encountered rarely, it is an important and serious complication. There is no evidence-based effective treatment and management of coronary embolism. Here we report a case of myocardial infarction caused by coronary embolism due to mechanical mitral valve thrombosis

PDF

___

1. Charles RG, Ebstein EJ. Diagnosis of coronary embolism: a review. J R Soc Med 1983; 76: 863-9.
2. Bjoerk VO, Malers E. Total mitral valve replacement: late results. J Thorac Cardiovasc Surg 1964; 48: 625-34.
3. Roberts WC. Coronary embolism: a review of causes, consequences and diagnostic considerations. Cardiovasc Med 1978; 3: 699-709.
4. Kamishirado H, Yamanaka T, Morooka S, Takayanagi K, Sasaki T, Koshikawa K, et al. A case of coronary artery embolism associated with combined valvular heart disease. Kokyu to Junkan 1993; 41: 81-4.
5. Quinn EG, Fergusson DJ. Coronary embolism following aortic and mitral valve replacement: successful management with abciximab and urokinase. Cathet Cardiovasc Diagn 1998; 43: 457-9. [CrossRef]
6. Sial JA, Ferman MT, Saghir T, Rasool SI. Coronary embolism causing acute myocardial infarction in a patient with mitral valve prosthesis: successful management with angioplasty. J Pak Med Assoc 2009; 59: 409-11.
7. Yuce M, Yavuz F, Cakıcı M, Sarı I, Davutoglu V. A rare cause of myocardial infarction: coronary embolism in a patient with prosthetic mitral valve thrombosis. East Mediterr Health J 2011; 17: 887-8.
8. Atas H, Sari I, Delil K, Ileri C, Samadov F. Acute inferior myocardial infarction in a patient with a prosthetic aortic valve and high international normalized ratio. Postepy Kardiol Interwencyjnej 2014; 10: 63-5. [CrossRef]
9. Karakoyun S, Gürsoy MO, Kalçık M, Yesin M, Özkan M. A case series of prosthetic heart valve thrombosis-derived coronary embolism Turk Kardiyol Dern Ars 2014; 42: 467-71. [CrossRef]
10. Aykan AC, Ozkan M, Duran NE, Yildiz M. Acute ST elevation inferior myocardial infarction in a patient with a non-obstructive mechanical mitral valve thrombosis. Cardiovasc J Afr 2012; 23: e7-8. [CrossRef]