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Case Reports
. 2003;30(4):316-8.

Transradial intracoronary catheter-aspiration embolectomy for acute coronary embolism after mitral valve replacement

Wei-Chin Hung  1 , Chiung-Jen Wu, Wei-Jen Chen, Cheng-Hsu Yang, Jen-Ping Chang
Affiliations
Case Reports

Transradial intracoronary catheter-aspiration embolectomy for acute coronary embolism after mitral valve replacement

Wei-Chin Hung et al. Tex Heart Inst J. 2003.

Abstract

An anticoagulated 51-year-old woman with a mechanical mitral prosthesis, which had been implanted 12 years earlier, sustained an acute anterior wall myocardial infarction caused by an embolus in the mid left anterior descending coronary artery. After treatment with tissue-plasminogen activator failed to lyse the obstruction, we performed intracoronary catheter-aspiration embolectomy via a transradial approach, which yielded a favorable result.

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Figures

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Fig. 1 Coronary angiograms in right anterior oblique caudal (A) and lateral (B) projections show an embolus in the mid-left anterior descending artery (arrowheads). The same angio-graphic views (C, D) after catheter-aspiration embolectomy show resolution of the embolus.
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Fig. 2 Histologic examination of the coronary embolus shows fibrin contents (H&E stain, orig. ×10).
See this image and copyright information in PMC

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