Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary Ectasia

We here report a case of ST-elevation myocardial infarction (STEMI) due to simultaneous acute coronary artery occlusions of two major coronary arteries in a patient with coronary ectasia. The patient had been previously submitted to percutaneous coronary angioplasty with bare metal stent implantatio...

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Main Authors: Bruno da Silva Matte, Gustavo Neves de Araujo, Felipe Homem Valle, Ana Maria Rocha Krepsky
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2018/6148470
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author Bruno da Silva Matte
Gustavo Neves de Araujo
Felipe Homem Valle
Ana Maria Rocha Krepsky
author_facet Bruno da Silva Matte
Gustavo Neves de Araujo
Felipe Homem Valle
Ana Maria Rocha Krepsky
author_sort Bruno da Silva Matte
collection DOAJ
description We here report a case of ST-elevation myocardial infarction (STEMI) due to simultaneous acute coronary artery occlusions of two major coronary arteries in a patient with coronary ectasia. The patient had been previously submitted to percutaneous coronary angioplasty with bare metal stent implantation in both culprit vessels. Very late stent thrombosis could be the cause of the first occlusion, triggering the event in the other vessel. In addition, concomitant embolic sources were not identified. Although routine aspiration thrombectomy in STEMI was not proven to be beneficial in randomized clinical trials, it was of great value in this case. We also discuss the relation between coronary ectasia, chronic inflammatory status, and increased platelet activity which may have caused plaque disruption in another already vulnerable vessel.
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publishDate 2018-01-01
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series Case Reports in Cardiology
spelling doaj-art-d298251d2e5246379f37ac46a0480c1e2025-02-03T07:25:37ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/61484706148470Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary EctasiaBruno da Silva Matte0Gustavo Neves de Araujo1Felipe Homem Valle2Ana Maria Rocha Krepsky3Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, BrazilHospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, BrazilHospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, BrazilHospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, BrazilWe here report a case of ST-elevation myocardial infarction (STEMI) due to simultaneous acute coronary artery occlusions of two major coronary arteries in a patient with coronary ectasia. The patient had been previously submitted to percutaneous coronary angioplasty with bare metal stent implantation in both culprit vessels. Very late stent thrombosis could be the cause of the first occlusion, triggering the event in the other vessel. In addition, concomitant embolic sources were not identified. Although routine aspiration thrombectomy in STEMI was not proven to be beneficial in randomized clinical trials, it was of great value in this case. We also discuss the relation between coronary ectasia, chronic inflammatory status, and increased platelet activity which may have caused plaque disruption in another already vulnerable vessel.http://dx.doi.org/10.1155/2018/6148470
spellingShingle Bruno da Silva Matte
Gustavo Neves de Araujo
Felipe Homem Valle
Ana Maria Rocha Krepsky
Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary Ectasia
Case Reports in Cardiology
title Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary Ectasia
title_full Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary Ectasia
title_fullStr Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary Ectasia
title_full_unstemmed Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary Ectasia
title_short Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary Ectasia
title_sort multiple culprit coronary artery thrombosis in a patient with coronary ectasia
url http://dx.doi.org/10.1155/2018/6148470
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