Document Detail

Multivessel coronary artery thrombosis.
MedLine Citation:
PMID:  19182293     Owner:  NLM     Status:  MEDLINE    
Simultaneous thrombosis of multiple epicardial coronary arteries is an uncommon clinical finding in ST-segment elevation myocardial infarction (STEMI). We describe a 37-year-old male present with inferior wall STEMI who was found to have large thrombi in both the right coronary artery (RCA) and the left anterior descending artery (LAD). We reviewed 23 patients with multivessel thrombosis in acute myocardial infarction in the literature. The mean age of patients was 53 +/- 14 years (32-82 years); 74% were males, and most patients had multiple risk factors for coronary artery disease. The LAD (78%) and RCA (87%) were the arteries involved for most patients. Aspiration thrombectomy was used in 3 cases. Though it is rare, STEMI with multiple culprit arteries can occur, and it is crucial to recognize this condition to determine the proper treatment, since most of these patients are critically ill.
Yumiko Kanei; Rajesh Janardhanan; John T Fox; Ramesh M Gowda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  21     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  66-8     Citation Subset:  IM    
Beth Israel Medical Center, Cardiac Catheterization Laboratory, 11 Dazian, 1st Avenue at 16th Street, New York, NY 10003, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / methods
Coronary Angiography
Coronary Artery Bypass / methods*
Coronary Thrombosis / complications,  diagnosis*,  therapy
Fibrinolytic Agents / therapeutic use*
Follow-Up Studies
Myocardial Infarction / diagnosis,  etiology,  therapy
Thrombolytic Therapy / methods*
Reg. No./Substance:
0/Fibrinolytic Agents

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