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Updated: May 17, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Acute ST-elevation inferior myocardial infarction in a patient with a non-obstructive mechanical mitral valve
Ahmet Cagri Aykan1, Mehmet Ozkan, Nilufer Eksi Duran
1Department of Cardiology, Kosuyolu Kartal Heart Training and Educational Hospital, Istanbul, Turkey. ahmetaykan@yahoo.com
Abstract:
The risk of systemic embolisation in patients with prosthetic heart valves who are receiving anticoagulation therapy is 0.5 to 1.7% per patient year and most cases present with cerebrovascular events. Here we report the case of a 42-year-old woman who was uneventfully treated with a low dose, prolonged infusion of tissue plasminogen activator because of non-obstructive prosthetic mitral valve thrombosis. It presented as coronary embolism and resulted in acute ST-elevation inferior myocardial infarction.
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