Successful percutaneous treatment of suspected embolic left main thrombosis in a patient with a mechanical aortic

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Mitul Patel1, Munveer Bhangoo, Anand Prasad

  • 1University of California San Diego, California Division of Cardiology, 200 West Arbor Drive, San Diego, CA 92103, USA.

The Journal of Invasive Cardiology
|November 3, 2011
PubMed

Insights

Left main coronary artery thrombosis, though rare, can be fatal. This case highlights mechanical aortic valve thrombus embolization causing ST elevation myocardial infarction and cardiogenic shock.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiovascular Medicine

Background:

  • Left main coronary artery thrombosis is a rare clinical presentation.
  • Mechanical prosthetic valves can be a source of thromboembolism.
  • Coronary artery thrombosis can lead to acute myocardial infarction and cardiogenic shock.

Observation:

  • A patient presented with symptoms suggestive of acute coronary syndrome.
  • Imaging revealed total occlusion of the left main coronary artery.
  • The occlusion was suspected to be caused by embolized thrombus from a mechanical aortic valve.

Findings:

  • The patient experienced an anterior wall ST elevation myocardial infarction.
  • Cardiogenic shock developed as a complication.
  • Successful acute interventional management was performed.

Implications:

  • This case underscores the potential for prosthetic valve-related emboli to cause severe coronary artery thrombosis.
  • Early diagnosis and intervention are crucial for managing left main coronary artery thrombosis.
  • Further research into the prevention and treatment of prosthetic valve-related coronary embolism is warranted.

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