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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Bibliographic Details
Published in:Case reports in cardiology 2018-01, Vol.2018 (2018), p.1-4
Main Authors: Krepsky, Ana Maria Rocha, Valle, Felipe Homem, Araujo, Gustavo Neves de, Matte, Bruno da Silva
Format: Article
Language:English
Subjects:
Angioplasty
Blood clots
Cardiology
Cardiovascular disease
Case Report
Case reports
Coronary vessels
Electrocardiography
Emergency medical care
Glycoproteins
Heart attacks
Intervention
Medical imaging
Patients
Stents
Studies
Thrombosis
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Summary: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.
ISSN:2090-6404
2090-6412
DOI:10.1155/2018/6148470