Thrombosis of Left Coronary Artery During Primary Percutaneous Coronary Intervention

Authors

  • Panagiotis Margos First Department of Cardiology, General Hospital of Nikea, Pireaus, Greece
  • Maria Vroulidaki First Department of Cardiology, General Hospital of Nikea, Pireaus, Greece
  • Athanasios Kranidis First Department of Cardiology, General Hospital of Nikea, Pireaus, Greece

DOI:

https://doi.org/10.2015/hc.v9i1%20Sup.638

Keywords:

myocardial infarction, resuscitation, coronary artery thrombosis, thrombus aspiration

Abstract

We present a case of a 51-year-old male with acute anterior myocardial infarction, who was transferred to our hospital under mechanical ventilation, after resuscitation due to cardiopulmonary arrest. The patient underwent urgent coronary angiography, which showed total thrombotic occlusion of the proximal segment of the left anterior descending (LAD) coronary artery disease. During primary percutaneous coronary intervention (PPCI), thrombosis extended into the left main coronary artery (LMCA), the LAD and the left circumflex artery (LCx) coronary arteries, causing severe hemodynamic compromise. This devastating complication was successfully managed with intracoronary administration of antithrombotic and antiplatelet drugs, as well as thrombus aspiration. We herein discuss the possible mechanisms of this complication and highlight its prevention and treatment.

Downloads

Published

2014-05-19

Issue

Vol. 9 No. 1 Sup (2014): ATHENS CARDIOLOGY UPDATE 2014

Section

ATHENS CARDIOLOGY UPDATE 2014

License

Authors who publish with this journal agree to the following terms:

a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).