Simultaneous Total Occlusion of Multiple Distal Coronary Arteries in Acute Myocardial Infarction.
10.4070/kcj.2011.41.10.622
- Author:
Won Jun SONG
1
;
Ja Kyung KOO
;
Kyoung Ha PARK
;
Min Kyu KIM
;
Young Jin CHOI
Author Information
1. Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center, Seoul, Korea. pkhmd@naver.com
- Publication Type:Case Report
- Keywords:
Myocardial infarction;
Coronary artery disease;
Multiple
- MeSH:
Arteries;
Coronary Angiography;
Coronary Artery Disease;
Coronary Thrombosis;
Coronary Vessels;
Electrocardiography;
Emergencies;
Glycoproteins;
Humans;
Myocardial Infarction;
Thrombosis
- From:Korean Circulation Journal
2011;41(10):622-624
- CountryRepublic of Korea
- Language:English
-
Abstract:
Simultaneous multiple coronary artery thrombosis is a rare finding in ST segment elevation myocardial infarction (STEMI). We report a case of myocardial infarction with multiple ST segment elevation on the electrocardiography and total occlusions of the distal left anterior descending artery (dLAD), as well as of the second and third obtuse marginal artery on emergency coronary angiography. Thrombus aspiration was performed at dLAD and systemic glycoprotein IIb/IIIa inhibitor was used successfully. In patients with STEMI, multiple coronary thromboses are unusual and associated with patient fatality. However, assertive thrombus aspiration and antiplatelet therapy could be effective in STEMI patients with multiple distal coronary artery occlusions.
