Acute left main occlusion secondary to embolisation from an aortic valve prosthesis: Successful treatment with embolectomy and percutaneous coronary intervention

作者：Ranasinghe Isuru; Yiannikas John; Brieger David^*

来源：International Journal of Cardiology, 2011, 149(3): E110-E112.

DOI：10.1016/j.ijcard.2009.05.049

• Left main coronary artery
• Coronary emboli
• Embolectomy
• Prosthetic valve thrombosis

Acute occlusive embolus of the left main coronary artery is a rare and usually catastrophic occurrence. We present a case report of a 59 year old with an aortic valve prosthesis presenting in cardiogenic shock following cessation of warfarin therapy. Angiography demonstrated an acute left main occlusion secondary to emboli from the aortic valve prosthesis. Successful embolectomy was performed by clot aspiration followed by percutaneous coronary angioplasty and stenting. Patient had excellent recovery of myocardial function post procedure and remained well at 6 month follow-up.

• 出版日期2011-6-16