A Floating Thrombus in Sinus of Valsalva Complicated with Cardiogenic Shock in a Patient with Plasminogen Activator Inhibitor 1 4G/5G Polymorphism
Makaleler > Tam Makale · 2011
Yazarlar: Serkan Saygi, Emin ALIOGLU, Mehmet Nuri KARABULUT, Ugur Onsel TURK, BAHADIR KIRILMAZ, Nurullah TUZUN, Fahri ŞAHİN, Buket KOSOVA, Istemihan TENGIZ
Echocardiography, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2011, cilt 28, ss E164-E167
DOI: 10.1111/j.1540-8175.2011.01432.x
Özet
Thrombus in sinus of Valsalva is unusual reason for acute myocardial infarction. We demonstrated a case with floating thrombus in sinus of Valsalva obstructing the right coronary ostium intermittently, and causing cardiogenic shock. The patient was diagnosed with multiplane transesophageal echocardiography and treated successfully with surgical removal of mass. A homozygote polymorphism of plasminogen activator inhibitor (PAI) 1 4G/5G was found. This is the first report demonstrating a patient with PAI 1 polymorphism and thrombus of Valsalva complicated with cardiogenic shock.