| Extensive coronary thrombus causing full thickness myocardial infarction. | |
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MedLine Citation:
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PMID: 17851972 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A young male presented 22 h following onset of symptoms with an anterior ST-elevation myocardial infarction. He was transferred for rescue angioplasty after failing to reperfuse with thrombolytic therapy. On arrival, his symptoms had settled. Following administration of intracoronary abciximab and passage of an angioplasty wire into the distal LAD, extensive thrombus was demonstrated in the left anterior descending artery extending from the ostium to the distal vessel Figure 1(a). Further intervention with attempted thrombectomy was considered but it was postponed pending a viability study because of the risks of displacing thrombus down the circumflex. A cardiac MRI scan with delayed gadolinium hyper-enhancement demonstrated the classical appearance of full-thickness infarction in the LAD territory Figure 1(b). No further intervention was therefore indicated. At one-year follow-up, the patient remains free of angina with NYHA Class 1 symptoms of heart failure. |
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Authors:
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Nicholas Curzen; Robert Hatrick; Charles Peebles |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acute cardiac care Volume: 9 ISSN: 1748-2941 ISO Abbreviation: Acute Card Care Publication Date: 2007 |
Date Detail:
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Created Date: 2008-01-03 Completed Date: 2008-02-07 Revised Date: 2009-11-17 |
Medline Journal Info:
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Nlm Unique ID: 101276603 Medline TA: Acute Card Care Country: Sweden |
Other Details:
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Languages: eng Pagination: 253 Citation Subset: IM |
Affiliation:
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Wessex Cardiac Unit, Southampton University Hospital, Southampton, UK. nick.curzen@suht.swest.nhs.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary Antibodies, Monoclonal / therapeutic use Anticoagulants / therapeutic use Coronary Angiography Coronary Thrombosis / complications* Humans Immunoglobulin Fab Fragments / therapeutic use Magnetic Resonance Imaging Male Myocardial Infarction / diagnosis, drug therapy*, etiology* Thrombolytic Therapy* |
| Chemical | |
Reg. No./Substance:
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0/Antibodies, Monoclonal; 0/Anticoagulants; 0/Immunoglobulin Fab Fragments; 143653-53-6/abciximab |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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