Exercise testing induces fatal thromboembolism from mechanical mitral valve

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dc.contributor.authorYavuzgil, O
dc.contributor.authorOzerkan, F
dc.contributor.authorGurgun, C
dc.contributor.authorZoghi, M
dc.contributor.authorCan, L
dc.contributor.authorAkin, M
dc.date.accessioned2019-10-27T18:18:57Z
dc.date.available2019-10-27T18:18:57Z
dc.date.issued2002
dc.departmentEge Üniversitesien_US
dc.description.abstractThromboembolism is still one of the most important complications of prosthetic heart valves. Embolism to a major coronary branch is rare, but acute proximal occlusions can be fatal, even when the coronary arteries are otherwise normal and intervention is rapid. We report a fatal complication of an exercise test in a patient who had a St. Jude bileaflet mitral valve. After an exercise test, a 42-year-old woman with a mechanical prosthetic valve had a severe hemodynamic collapse with acute ST segment changes. Coronary angiography showed a totally occluded left main coronary artery with TIMI grade 0 to I flow. Rapid injection of contrast material and the passage of a floppy guidewire through the thrombus restored a TIMI grade 3 flow. Angiography showed no coronary atherosclerostic involvement. Despite successful coronary reperfusion, intra-aortic balloon counterpulsation, and intensive medication, the patient died. This case demonstrates that exercise testing should be applied with great caution in patients with prosthetic valves, and only after a careful evaluation of valve function, We recommend transesophageal echocardiography prior to exercise testing in these patients.en_US
dc.identifier.endpage50en_US
dc.identifier.issn0730-2347
dc.identifier.issue1en_US
dc.identifier.pmid11995851en_US
dc.identifier.startpage48en_US
dc.identifier.urihttps://hdl.handle.net/11454/35572
dc.identifier.volume29en_US
dc.identifier.wosWOS:000174881600012en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTexas Heart Insten_US
dc.relation.ispartofTexas Heart Institute Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcase reporten_US
dc.subjectcoronary thrombosis/etiologyen_US
dc.subjectexercise testen_US
dc.subjectfemaleen_US
dc.subjectheart valve prosthesisen_US
dc.subjectmiddle ageen_US
dc.subjectmitral valveen_US
dc.subjectmyocardial infarctionen_US
dc.subjectprosthetic heart valvesen_US
dc.subjectthromboembolism/etiologyen_US
dc.titleExercise testing induces fatal thromboembolism from mechanical mitral valveen_US
dc.typeArticleen_US

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