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Case Reports
. 2015 Nov-Dec;67(6):589-91.
doi: 10.1016/j.ihj.2015.10.372. Epub 2015 Nov 17.

Percutaneous management of coronary embolism with prosthetic heart valve thrombosis after Bentall's procedure

Nagendra Boopathy Senguttuvan  1 , S Ramakrishnan  2 , Sandeep Singh  3 , Sundeep Mishra  3
Affiliations
Case Reports

Percutaneous management of coronary embolism with prosthetic heart valve thrombosis after Bentall's procedure

Nagendra Boopathy Senguttuvan et al. Indian Heart J. 2015 Nov-Dec.

Abstract

We describe a young male who had undergone a Bentall's procedure seven years ago presenting with acute severe chest pain. He was diagnosed to have coronary embolism from prosthetic heart valve thrombosis. Multiple treatment strategies for the patient were available and we briefly discuss the merits of each of them. We also describe the encountered difficulties in the percutaneous revascularization procedure.

Keywords: Acute myocardial infarction; Coronary embolism; Percutaneous coronary intervention; Prosthetic valve thrombosis.

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Figures

Fig. 1
Fig. 1
CT angiogram with sagittal oblique planar shows the Bentall's procedure (valve marked with black arrow and homograft indicated with arrowhead) with dilatation of the left coronary artery button (white arrow).
Fig. 2
Fig. 2
Left coronary angiogram in right anterior oblique caudal view showing complete occlusion of circumflex after OM1. The stump of the lesion is seen.
Fig. 3
Fig. 3
Left coronary angiogram in right anterior oblique caudal view showing normally flowing arteries.
See this image and copyright information in PMC

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