Quinn E G, Fergusson D J
Internal Medicine Residency Program, University of Hawaii, Honolulu, USA.
Cathet Cardiovasc Diagn. 1998 Apr;43(4):457-9. doi: 10.1002/(sici)1097-0304(199804)43:4<457::aid-ccd24>3.0.co;2-f.
We report a case of coronary embolism in a 63-year-old woman with St. Jude aortic and mitral valve replacements who presented with acute myocardial infarction. Urgent catheterization revealed a saddle embolus in the proximal part of the circumflex and ramus arteries and another embolus in a diagonal branch. After employing angioplasty for the totally occluding diagonal embolus, a combined regimen of intracoronary urokinase and intravenous abciximab was successful in achieving complete resolution of the emboli.
