A mobile thrombus in the left main coronary artery which caused acute myocardial infarction

Öz

Anahtar Kelimeler

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A mobile thrombus in the left main coronary artery which caused acute myocardial infarction

Abstract

Intracoronary thrombus, vasospasm and coronary embolism are participating in the pathophysiology of acute myocardial infarction. Occlusion of the left main coronary artery (LMCA) with thrombus is rare but it’s very mortal case.1,2 Choice of treatment op- tions depend on the clinical presentation of the pa- tient and result of angiographic examination. Total occlusion of the LMCA with thrombus can be treat- ed with percutaneus coronary intervention under in- traaortic balon pump back up.3 Subtotal thrombotic occlusion of the LMCA can be successfully treated with coronary artery bypass graft (CABG) operation or thrombolytic treatment.1-2

Keywords

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Kaynakça

1. Ikitimur B, Gurmen T, Tabakan A, Suzer K. Acute coronary syndrome caused by a mobile mass in the left main coronary artery. J Am Coll Cardiol 2010;55(15):e131.
2. Karavelioglu Y, Ekicibasi E, Tanalp AC, Karapinar H, Aung SM. Worm-like thrombus in left main coronary artery after cytostatic treatment. Blood Coagul Fibrinolysis 2010;21(5):491-3.
3. Dwyer N, Kanani R. Images in clinical medicine. Left main coronary artery thrombosis. N Engl J Med 2012;366(14):e21.