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  • Title: Wolf in wolf's clothing--a case of prosthetic aortic valve thrombosis presenting as an acute coronary syndrome.
    Author: Bridgman JC, Chik W, Heddle W.
    Journal: Heart Lung Circ; 2006 Oct; 15(5):334-6. PubMed ID: 16876480.
    Abstract:
    Mechanical prosthetic valve thrombosis (PVT) is a potentially life threatening event that occurs with an incidence of 0.2% per patient year following aortic valve replacement [Lengyel M, Fuster V, Keltal M, et al. Guidelines for management of left-sided prosthetic valve thrombosis: a role for thrombolytic therapy. J Am Coll Cardiol 1997;30:1521-6]. We present the case of a middle-aged man with thrombosis of his aortic valve prosthesis mimicking an acute coronary syndrome. The patient received thrombolytic therapy with subsequent embolism of thrombotic debris to the leg.
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