Coronary embolism following aortic and mitral valve replacement: successful management with abciximab and urokinase

Catheterization and Cardiovascular Diagnosis
E G Quinn, D J Fergusson

Abstract

We report a case of coronary embolism in a 63-year-old woman with St. Jude aortic and mitral valve replacements who presented with acute myocardial infarction. Urgent catheterization revealed a saddle embolus in the proximal part of the circumflex and ramus arteries and another embolus in a diagonal branch. After employing angioplasty for the totally occluding diagonal embolus, a combined regimen of intracoronary urokinase and intravenous abciximab was successful in achieving complete resolution of the emboli.

Citations

Nov 28, 2012·Heart Views : the Official Journal of the Gulf Heart Association·Abdelrahman JamielAhmad Omran
Dec 26, 2015·Indian Heart Journal·Nagendra Boopathy SenguttuvanSundeep Mishra
Apr 12, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Felipe HernándezJuan C Tascón
Oct 1, 2011·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·Maythem SaeedMark W Wilson
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