A young female with double mechanical prosthetic heart valves presenting with coronary embolism-a rare case report

  • Suman Adhikari Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal https://orcid.org/0000-0001-8402-5325
  • Ratna Mani Gajurel Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal
  • Chandra Mani Paudel Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal
  • Surya Devkota Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal
  • Smriti Shakya Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal
  • Shovit Thapa Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal
  • Vijay Yadav Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal
  • Manju Sharma Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal
Keywords: Acute, Coronary, Embolism, Prosthetic, Syndrome

Abstract

Coronary embolism, though uncommon, can occur in young patients with mechanical prosthetic heart valves. Coronary embolism has been reported in patients with prosthetic heart valves with or without thrombosis in literatures. It can cause acute coronary syndrome and lead to death if threshold of diagnosis of coronary embolism is not low. Here we report a case of coronary embolism in a 26 year old female with history of double mechanical prosthetic valve replacement, presenting to our centre with acute coronary syndrome. She was managed with thrombosuction establishing almost complete revascularization.  

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Author Biographies

Suman Adhikari, Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal

Department of Cardiology

Ratna Mani Gajurel, Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal

Department of Cardiology

Chandra Mani Paudel, Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal

Department of Cardiology

Surya Devkota, Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal

Department of Cardiology

Smriti Shakya, Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal

Department of Cardiology

Shovit Thapa, Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal

Department of Cardiology

Vijay Yadav, Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal

Department of Cardiology

Manju Sharma, Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University, Nepal

Department of Cardiology

Published
2020-05-28
How to Cite
Adhikari, S., Gajurel, R., Paudel, C., Devkota, S., Shakya, S., Thapa, S., Yadav, V., & Sharma, M. (2020). A young female with double mechanical prosthetic heart valves presenting with coronary embolism-a rare case report. Journal of Advances in Internal Medicine, 9(1), 37-39. https://doi.org/10.3126/jaim.v9i1.29167
Section
Case Reports