Image from Google Jackets

A Road less travelled: coronary thromboembolism in a patient with a prosthetic heart valve / Ronald F. Santos, Riza Cruz and Efren Vicaldo.

By: Contributor(s): Language: English Publication details: Fairview, Quezon City Department of Medicine, FEU-NRMF, 2015Description: photos; (in folder)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
LOC classification:
  • MED20150005
Summary: ABSTRACT: Prosthetic valve thromboembolism is an uncommon but severe complication in patients who have undergone valve replacement. This is most likely due to the increased thombogenicity brought about by poor adherence or insufficient anticoagulation. 1 We are presented with a case of 35 year old female with a history of rheumatic fever, and had undergone aortic valve replacement and maintained on oral anticoagulation, who presented at the ER with a sudden onset of chest pain. Upon consult at the ER, ECG as well as Troponin I were requested. ECG showed sinus rhytm, left axis deviation, left atrial abnormality, poor R wave progression diffuse ischemia and probable old inferior wall infarction. Troponin I was elevated at 42,452 U/L .Angiogram was done which showed an occlusion of the left anterior descending artery. The patient was managed as a case of non-ST elevation myocardial infarction caused by an emboli from the mechanical aortic valve, and was treated by anticoagulation and thrombolysis using streptokinase and heparin.
Star ratings
    Average rating: 0.0 (0 votes)
Holdings
Item type Current library Call number Status Date due Barcode
Research Far Eastern University - Nicanor Reyes Medical Foundation Research MED20150005 (Browse shelf(Opens below)) Available R000456

Includes appendices and bibliographical references.

ABSTRACT: Prosthetic valve thromboembolism is an uncommon but severe complication in patients who have undergone valve replacement. This is most likely due to the increased thombogenicity brought about by poor adherence or insufficient anticoagulation. 1 We are presented with a case of 35 year old female with a history of rheumatic fever, and had undergone aortic valve replacement and maintained on oral anticoagulation, who presented at the ER with a sudden onset of chest pain. Upon consult at the ER, ECG as well as Troponin I were requested. ECG showed sinus rhytm, left axis deviation, left atrial abnormality, poor R wave progression diffuse ischemia and probable old inferior wall infarction. Troponin I was elevated at 42,452 U/L .Angiogram was done which showed an occlusion of the left anterior descending artery. The patient was managed as a case of non-ST elevation myocardial infarction caused by an emboli from the mechanical aortic valve, and was treated by anticoagulation and thrombolysis using streptokinase and heparin.

Research - Department of Medicine

There are no comments on this title.

to post a comment.