Acute Dysfunction of Mechanical Aortic Valve as Electrocardiographic Mimic of Acute Left Main Coronary Artery Occlusion

作者:Shan Peiren; Huang Weijian*; Li Sheng; Zhou Hao; Dong Fengquan; Chu Maoping; Sun Chengchao
来源:Annals of Thoracic Surgery, 2012, 93(4): 1307-1309.
DOI:10.1016/j.athoracsur.2011.09.019

摘要

We report three patients with acute dysfunction of mechanical aortic valve prosthesis resulting in chest pain, concomitant cardiogenic shock, and electrocardiographic changes mimicking acute occlusion of the left main coronary artery whereas emergency coronary angiography revealed normal coronary arteries. During operation, abnormal proliferation of subvalvular pannus overgrowth on the inflow aspect of the prosthesis was found to impede normal prosthesis closure. We discuss the possible underlying mechanisms of electrocardiographic presentations.

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