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CASE REPORT
Year : 2019  |  Volume : 9  |  Issue : 3  |  Page : 177-180

Perioperative myocardial infarction in a case of mitral valve replacement: Rare complication of a common procedure


Department of Cardiology, Jagjivan Ram Western Railway Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Saurabh Ajit Deshpande
Department of Cardiology, Jagjivan Ram Western Railway Hospital, RBI Staff Colony, MM Marg, Mumbai Central, Mumbai - 400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JICC.JICC_33_19

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A 56-year-old female underwent mitral valve replacement for severe symptomatic rheumatic mitral stenosis. There was perioperative myocardial infarction as evidenced by the regional echocardiogram (ECG) and echocardiographic changes (left anterior descending [LAD] territory) and hemodynamic instability. The patient was immediately taken up for coronary angiogram to find complete occlusion of mid-segment of the LAD artery. Thrombus aspiration and intracoronary nitrates were given to restore thrombolysis in myocardial infarction (TIMI) III flow in the vessel. The patient was discharged after 10 days without any other complications. On follow-up ECG, the regional wall motion abnormality persisted. Repeat coronary angiogram done for the same revealed no lesions in coronary vessels with TIMI III flow.


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