Cor Vasa 2025, 67(Suppl.3):51-54 | DOI: 10.33678/cor.2025.045
Rare Cause of Acute Coronary Syndrome in a Young Female Patient: Coronary Embolism
- Department of Cardiovascular Medicine, Cairo University Hospital, Cairo, Egypt
Background: Coronary embolization in patients with mechanical prosthesis as a cause of coronary artery occlusion has been considered a rare condition with unknown incidence. Moreover, there is a lack of consensus for effective treatment and management of coronary emboli in this setting.
Discussion: This case demonstrated coronary embolization may complicate mechanical thrombus with suboptimal INR levels and can be successfully treated with percutaneous angioplasty.
Keywords: Coronary angiography, Mechanical mitral prosthesis, Percutaneous balloon angioplasty
Received: February 2, 2025; Revised: February 24, 2025; Accepted: March 16, 2025; Prepublished online: June 2, 2012; Published: September 1, 2025 Show citation
References
- Virchow R. Ueber Capilare Embolie. Virchows Arch path Anat 1856;9:307-308.
Go to original source...
- Waller BF. Atherosclerotic and nonatherosclerotic coronary artery factors in acute myocardial infarction. Cardiovasc Clin 1989;20:29-104.
- Prizel KR, Hutchins GM, Bulkley BH. Coronary artery embolism and myocardial infarction. Ann Intern Med 1978;88:155-161.
Go to original source...
Go to PubMed...
- Charles RG, Epstein EJ. Diagnosis of coronary embolism: a review. J R Soc Med 1983;76:863-869.
Go to original source...
Go to PubMed...
- Shibata T, Kawakami S, Noguchi T, et al. Prevalence, Clinical Features, and Prognosis of Acute Myocardial Infarction Attributable to Coronary Artery Embolism. Circulation 2015;132:241-250.
Go to original source...
Go to PubMed...
- Bjoerk VO, Malers E. Total Mitral Valve Replacement: Late Results. J Thorac Cardiovasc Surg 1964;48:625-634.
Go to original source...
- Roberts WC. Coronary embolism: a review of causes, consequences, and diagnostic considerations. Cardiovasc Med 1978;3:699-709.
- Kotooka N, Otsuka Y, Yasuda S, et al. Three cases of myocardial infarction due to coronary embolism. Jpn Heart J 2004;45:861-866.
Go to original source...
Go to PubMed...
- Kiernan TJ, Flynn AM, Kearney P. Coronary embolism causing myocardial infarction in a patient with mechanical aortic valve prosthesis. Int J Cardiol 2006;112:14-16.
Go to original source...
Go to PubMed...
- Steinwender C, Hofmann R, Hartenthaler B, Leisch F. Resolution of a coronary embolus by intravenous application of bivalirudin. Int J Cardiol 2009;132:e115-e116.
Go to original source...
Go to PubMed...
- Quinn EG, Fergusson DJ. Coronary embolism following aortic and mitral valve replacement: successful management with abciximab and urokinase. Catheter Cardiovasc Diagn 1998;43:457-459.
Go to original source...
- Atmaca Y, Ozdol C, Erol C. Coronary embolism in a patient with mitral valve prosthesis: successful management with tirofiban and half-dose tissue-type plasminogen activator. Chin Med J 2007;120:2321-2322.
Go to original source...
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