Coronary Embolism from Prosthetic Aortic Valve  due to Incompliant Warfarin Use: A Rare Cause  of Acute Coronary Syndrome

Uğur Canpolat; Yusuf Ziya Şener; Metin Okşul; Mehmet Levent Şahiner; Kudret Aytemir

doi:10.5152/eurjther.2019.18032

Authors

Uğur Canpolat Department of Cardiology, Hacettepe University School of Medicine, Ankara https://orcid.org/0000-0002-4250-1706
Yusuf Ziya Şener Department of Cardiology, Hacettepe University School of Medicine, Ankara https://orcid.org/0000-0001-5151-5133
Metin Okşul Department of Cardiology, Hacettepe University School of Medicine, Ankara https://orcid.org/0000-0003-0531-3500
Mehmet Levent Şahiner Department of Cardiology, Hacettepe University School of Medicine, Ankara https://orcid.org/0000-0002-0985-3144
Kudret Aytemir Department of Cardiology, Hacettepe University School of Medicine, Ankara https://orcid.org/0000-0001-9279-8424

DOI:

https://doi.org/10.5152/eurjther.2019.18032

Keywords:

Coronary artery embolism, incompliant warfarin use, prosthetic aortic valve

Abstract

Acute ST-segment elevation myocardial infarction (STEMI) is a life-threatening condition for which revascularization should be accessed emergently. Most STEMI cases result from atherosclerotic plaque rupture. However, rare causes such as coronary artery dissection, the vasculitic involvement of the coronary arteries, and coronary artery embolism may result in pathophysiological mechanism. This paper presents the case of a young male patient with subacute anterior STEMI secondary to thrombus embolism from prosthetic aortic valve due to incompliant warfarin use.

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