# Myocardial infarction due to coronary embolism after mechanical aortic valve replacement: a case report

## TL;DR

A young patient experienced a heart attack due to a blood clot from a mechanical aortic valve, which was successfully treated with intervention and medication.

## Contribution

This case report highlights a rare complication of mechanical aortic valve replacement and its successful management.

## Key findings

- The patient had acute myocardial infarction due to coronary embolism from a thrombus on the mechanical aortic valve.
- Percutaneous coronary intervention and thrombolytic therapy successfully resolved the issue.
- The patient recovered and was discharged with anticoagulant and antiaggregant therapy.

## Abstract

Prosthetic valve thrombosis (PVT) in aortic valve and its complication coronary embolism is a very rare condition. Diagnosis and treatment process is challenging. We present a young patient with acute myocardial infarction who underwent mechanical aortic valve replacement (AVR) operation one month earlier. Percutaneous coronary intervention was performed and it was succesful. Transeasophageal ecocardiography (TEE) was performed. Thrombus was seen on the mechanical aortic valve and thrombolytic therapy was initiated. Control TEE was performed and there was no signs of thrombi. The patient was discharged healthfully with anticoagulant and antiaggregan.