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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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| 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. |
| format | Article |
| id | doaj-art-d298251d2e5246379f37ac46a0480c1e |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| 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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