| Multivessel acute coronary thrombosis and occlusion--an unusual cause of cardiogenic shock. | |
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MedLine Citation:
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PMID: 17827521 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 44-year-old male was admitted with ST-elevation myocardial infarction and cardiogenic shock. Angiography revealed a left anterior descending artery (LAD) as well as right a coronary artery acute thrombotic occlusion and large mobile thrombi in the circumflex artery. He was treated mainly with multivessel thrombus aspiration and intra-aortic balloon insertion. Subsequent intravascular ultrasound a week later revealed mild disease of the LAD only. We suggest that in selected patients with cardiogenic shock, plaque rupture with resultant acute thrombosis in a single coronary artery may lead to low coronary perfusion pressure and consequent multivessel thrombus formation. Thrombus aspiration should be the main therapeutic modality in such unusual cases. |
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Authors:
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Yoav Turgeman; Khaled Suleiman; Shaul Atar |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 19 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-09-10 Completed Date: 2007-10-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: E278-80 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Ha'Emek Medical Center, Afula, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Coronary Angiography Coronary Stenosis / complications*, radiography, ultrasonography Coronary Thrombosis / complications*, radiography, ultrasonography Coronary Vessels* Electrocardiography Humans Male Shock, Cardiogenic / etiology*, ultrasonography Tachycardia, Ventricular / diagnosis, etiology Ultrasonography, Interventional |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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