Akut Ön Duvar Miyokard İnfarktüsü Esnasında Normal Koroner Akımla Birlikte İntrakoroner Trombüs: vaka sunumu

Intracoronary Thrombus with Normal Coronary Flow during Acute Anterior Myocardial Infarction: a case report

Acute myocardial infarction MI is a clinical syndrome characterized by acute occlusion of a coronary artery caused mainly by the development of a thrombus on the substrate of various types of atherosclerotic 1 . We present a case of female patient with evolving anterior acute MI referred for primary percutan transluminal coronary angioplasty PTCA who were successfully managed tirofiban infusion therapy after angiographic documentation of an infarct related artery with a large thrombus, normal coronary flow and absence of detectable atherosclerosis in the rest of the coronary tree.

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  • Burzotta F, Hamon M, Sabatier R, Prati F, Boccanelli A, Grollier G. Large intracoronary thrombi with good TIMI flow during acute myocardial infarction:four cases of successful aggressive medical management in patients without angiographically detectable coronary atheroscle- rosis. Heart. 2002;88(5):e6.
  • Heper G, Yetkin E. Dissolution of massive intracoronary thrombus by medical therapy: case report. Turkiye Klin- ikleri J Cardiovasc. Sci 2012;24(3):295-8.
  • Arora RR, Platko WP, Bhadwar K, Simpfendorfer C. Role of intracoronary thrombus in acute complications during percutaneous transluminal coronary angioplasty. Cathet Cardiovasc Diagn 1989;16(4):226-9.
  • Topol EJ, Yadav JS. Recognition of the importance of embolization in atherosclerotic vascular disease. Circula- tion 2000;101(5):570-80.
  • Steg PG, Himbert D, Benamer H, Karrillon G, Boccara A, Aubry P, Juliard JM. Conservative management of pa- tients with acute myocardial infarction and spontaneous acute patency of the infarct-related artery. Am Heart J 1997;134(2 pt 1):248–52.
  • Davies MJ, Thomas AC. Plaque fissuring: the cause of acute myocardial infarction, sudden ischemic death and crescendo angina. Br Heart J 1985;53(4):363–73
  • Grech ED, Sutton AG, Campbell PG, Ashton VJ, Price DJ, Hall JA, de Belder MA. Reappraising the role of immediate intervention following thrombolytic recanalization in acute myocardial infarction. Am J Cardiol 2000;86(4):400– 5.
  • Gibson CM, de Lemos JA, Murphy SA, McCabe CH, Cannon CP, Antman EM, Braunwald E; TIMI Study Group. Combination therapy with abciximab reduces angiograph- ically evident thrombus in acute myocardial infarction. A TIMI 14 substudy. Circulation 2001;103(21):2550–4.
Abant Tıp Dergisi-Cover
  • Yayın Aralığı: 6
  • Başlangıç: 2012
  • Yayıncı: Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi Dekanlığı
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