Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report

Abstract

Abstract

Acute ST-segment elevation myocardial infarction (STEMI) complicated with multiple coronary artery thrombosis is a rare clinical situation and is associated with poor prognosis. A 63-year-old male patient was admitted to the emergency department with sudden chest pain that had started three hours ago. The patient was diagnosed with acute inferior STEMI. The emergency coronary angiography showed acute arterial thrombosis in the left anterior descending (LAD), left circumflex (LCx), and the left first branch of the circumflex artery (obtuse margin). Obtuse margin of the lesion was treated with a stent. We decided to infuse tirofiban (glycoprotein 2b/3a inhibition) for the thrombosis in the LAD and CX vessels. After the tirofiban infusion, the coronary angiography showed no thrombi in the coronary arteries. The patient was discharged without further complications.

Key Words: Myocardial Infarction; Coronary Artery Disease; Multivessel Coronary Trombosis.

Keywords

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Journal of Turgut Ozal Medical Center

Öz

Akut ST segment elevasyonlu miyokard enfarktüsü (STEMI) ile eş zamanlı çoklu koroner arter trombozisi nadir görülen durumdur ve kötü prognoz ile ilişkilidir. 63 yaşındaki erkek hasta 3 saat önce başlayan ani göğüs ağrısı şikayetiyle acil servise başvurdu. Hastaya akut inferior STEMI tanısı konuldu. Yapılan acil koroner anjiografi de sol ön inen (LAD), sol sirkümfleks (LCx) ve sol sirkümfleks arterin ilk dalı (obtüs marjin) arterde akut tromboz saptandı. Obtüs marjin lezyonuna stent uygulandı, LAD ve LCx deki trombüs için tirofiban (glikoprotein 2b/3a inhibitörü) infüzyonu kararı verildi. Tirofiban infüzyonu sonrası yapılan koroner anjiografide koroner arterlerde trombüs izlenmedi. Hasta komplikasyonsuz taburcu edildi

Anahtar Kelimeler

• Miyokard Enfarktüsü, Koroner Arter Hastalığı, Multi Koroner Arter Trombozu

Kaynakça

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