- 期刊
Acute ST-Segment Elevation in Myocardial Infarction due to Paroxysmal Atrial Fibrillation- Induced Coronary Embolus in a Patient Receiving Minimally-Invasive Cardiac Surgery for Congenital Bicuspid Aortic Valve
摘要
Atrial fibrillation (AF) is a common arrhythmia, especially post-cardiac surgery. Coronary embolism (CE) is a rare complication of AF. Herein, we present the first reported case of a patient with a congenital bicuspid aortic valve with severe stenosis who underwent minimally-invasive cardiac surgery with aortic valve replacement (AVR), complicated by paroxysmal AF (PAF) and CE. We performed thrombus aspiration and injected adenosine intracoronarily via an aspiration catheter from the apical left anterior descending (LAD) artery back to the culprit lesion to achieve thrombolysis in acute myocardial infarction (TIMI) with a grade three antegrade flow. The patient then received warfarin plus clopidogrel for one month, followed by simple anticoagulant therapy with warfarin for long-term treatment.
延伸閱讀
- Lacalzada, J., Enjuanes, C., Izquierdo, M. M., Acea, A. B., Rosa, A. D. L., & Laynez, I. (2010). Pulmonary Valve Infective Endocarditis in an Adult Patient with Severe Congenital Pulmonary Stenosis and Ostium Secundum Atrial Septal Defect. Cardiology Research and Practice, 2010(), 208-210. https://doi.org/10.4061/2010/798956
- Chen, F. C. (2013). Initial Elevated Troponin I Is Associated With Mortality and Left Ventricular Ejection Fraction in Patients with STEMI Post Primary Percutaneous Coronary Intervention within 90 Minutes of Arrival [master's thesis, Kaohsiung Medical University]. Airiti Library. https://doi.org/10.6832/KMU.2013.00014
- Yuan, P. J., & Wong, W. K. (2018). Acute Myocardial Infarction and Concomitant Stroke as the Manifestations in a Patient with Type A Aortic Dissection: A Case Report with Three Years of Follow-Up. Acta Cardiologica Sinica, 34(1), 104-107. https://doi.org/10.6515/ACS.201801_34(1).20170815A
- Lin, C. C., Lee, P. Y., Chen, K. C., Liao, P. C., Hsu, J. C., & Li, A. H. (2020). Clinical, Demographic, and Biochemical Characteristics of Patients with Acute ST-Segment Elevation Myocardial Infarction: An Analysis of Acute Coronary Syndrome Registry Data of a Single Medical Center from 2005 to 2016. Acta Cardiologica Sinica, 36(1), 1-7. https://doi.org/10.6515/ACS.202001_36(1).20190704D
- Nakazone, M. A., Machado, M. N., Barbosa, R. B., Santos, M. A., & Maia, L. N. (2010). Syphilitic Coronary Artery Ostial Stenosis Resulting in Acute Myocardial Infarction Treated by Percutaneous Coronary Intervention. Case Reports in Medicine, 2010(), 132-135-225. https://doi.org/10.1155/2010/830583