How Innocent is the Restenosis of the Infarct-related Coronary Artery After Successful Initial Recanalization?

Authors

  • Nikolaos Patsouras
  • Grigorios Tsigas
  • Georgios Albanis
  • Andreas Mazarakis

DOI:

https://doi.org/10.2015/hc.v3i1%20sup.128

Abstract

The present case report describes a patient who sustained an acute inferior wall myocardial infarction, but initially remained clinically stable, then he underwent a successful coronary angioplasty and stenting procedure of a totally occluded right coronary artery, subsequently developing a dramatic clinical course with cardiogenic shock and cardiac arrest due to acute stent thrombosis which was successfully managed with repeat coronary angioplasty. We attributed this discrepant clinical manifestation of acute coronary occlusion to coronary collaterals, initially being present and then disappearing following the recanalization procedure, as being responsible for the dramatic clinical picture following the stent thrombosis.

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Athens Cardiology Update 2008