Paemelaère J M, Desveaux B, Aupart M, Quilliet L, Maillard L, Majou E, Gratia P, Pagot O, Charbonnier B, Raynaud P
Service de cardiologie A, CHU Trousseau, Tours.
Arch Mal Coeur Vaiss. 1996 Apr;89(4):481-4.
A 32 year-old-man admitted to hospital on the third day of myocardial infarction, three months after aortic valve replacement with a mechanical Medtronic-Hall prosthesis. The embolic character of the disease was evident on coronary angiography which showed a large thrombus in the left main coronary artery. The thrombosis of the valve prosthesis was not detected by non-invasive investigations but at aortography, confirmed at surgery. Thrombolysis with rt-PA did not dissolve the clot and reoperation was necessary (valve replacement with aorto-coronary bypass grafting).
一名32岁男性在心肌梗死第三天入院，其在接受美敦力-霍尔机械主动脉瓣置换术后三个月发病。冠状动脉造影显示左主干冠状动脉内有一大血栓，明确了该病的栓塞性质。无创检查未检测到人工瓣膜血栓形成，但主动脉造影发现了血栓，手术证实了这一情况。用重组组织型纤溶酶原激活剂（rt-PA）溶栓未能溶解血栓，因此有必要再次手术（行主动脉冠状动脉搭桥术置换瓣膜）。
