Acute Myocardial Infarction in Patient with Mitral Stenosis: A Rare Case

Purwaningtyas, Niniek

doi:10.4172/2329-9517.1000333

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…Acute coronary syndrome in RHD patients can be secondary to cardioembolic phenomenon involving coronaries or due to atherosclerotic disease involving native vessels. Acute coronary syndrome secondary to thrombo-embolic phenomenon was reported in studies by Radhakrishnan, et al [5], Niniek Purwaningtyas, et al [6], Cardoz J, et al [7]. Ideally transesophagial echocardiography should be done to rule out thrombus in left atrial appendage even if the patient is in sinus rhythm.…”

Section: Discussionmentioning

confidence: 97%

Percutaneous Balloon Mitral Valvotomy and Percutaneous Coronary Intervention of Left Anterior Descending Artery in Combined Procedure

Jain

Singh

Gupta

et al. 2019

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In countries like India rheumatic heart disease (RHD) is still a common problem, and with improvements in diagnosis and treatment, the lifespan of these patients is increased. With increase in the lifespan, these patients may develop coronary artery disease (CAD) and present as acute coronary syndrome (ACS). In some cases especially RHD with severe mitral stenosis (MS), thrombus that develop in left atrium may embolize in one of the coronary arteries, leading to acute coronary syndrome. We report a case of 51 year old female who was a known case of rheumatic heart disease and now presented with acute coronary syndrome. Patient was hemodynamically unstable and underwent percutaneous balloon mitral valvotomy (PBMV) and percutaneous coronary intervention (PCI) simultaneously. We here discuss the possible complications that need to be addressed in such scenario and how can we approach such cases. This is first of such intervention at our institute and also there are very few such records available online. Patient tolerated the procedure well with significant clinical improvement.

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Section: Discussionmentioning

confidence: 97%