JACC. Case reports · 2025
Mechanical Aortic Valve Thrombosis: Treatment With Tissue Plasminogen Activator.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Munawar Ghazala, Gupta Vasu, Laiq Zenab, Sleik Khaled
Аннотация
BACKGROUND: Mechanical aortic valve thrombosis is a rare complication in patients with mechanical valve replacements. Despite the advantages of mechanical valves, they necessitate lifelong anticoagulation therapy to prevent thrombotic events.
CASE SUMMARY: A 32-year-old man with a mechanical aortic valve presented with chest pain and dyspnea suggestive of myocardial infarction. Left heart catheterization revealed 100% occlusion of the distal left circumflex artery whereas cardiac computed tomography revealed a thrombus on the mechanical aortic valve. The patient was successfully treated with thrombolytic therapy using slow intravenous Alteplase infusion.
CASE SUMMARY: A 32-year-old man with a mechanical aortic valve presented with chest pain and dyspnea suggestive of myocardial infarction. Left heart catheterization revealed 100% occlusion of the distal left circumflex artery whereas cardiac computed tomography revealed a thrombus on the mechanical aortic valve. The patient was successfully treated with thrombolytic therapy using slow intravenous Alteplase infusion.