An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only

We present a unique case of a type I peri-operative myocardial infarction during an extensive abdominal aortic aneurysm repair occurring due to the occlusion of a severe stable ostial plaque stenosis by a small overlying thrombus. During coronary angiography, the thrombus was dislodged by the diagno...

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Autores principales: Betageri, Omkar, Ashraf, Hassan, Hafeez, Adam, Kerensky, Richard, Huber, Thomas S, Massoomi, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10306248/
https://www.ncbi.nlm.nih.gov/pubmed/37388602
http://dx.doi.org/10.7759/cureus.39610
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author Betageri, Omkar
Ashraf, Hassan
Hafeez, Adam
Kerensky, Richard
Huber, Thomas S
Massoomi, Michael
author_facet Betageri, Omkar
Ashraf, Hassan
Hafeez, Adam
Kerensky, Richard
Huber, Thomas S
Massoomi, Michael
author_sort Betageri, Omkar
collection PubMed
description We present a unique case of a type I peri-operative myocardial infarction during an extensive abdominal aortic aneurysm repair occurring due to the occlusion of a severe stable ostial plaque stenosis by a small overlying thrombus. During coronary angiography, the thrombus was dislodged by the diagnostic catheter which restored normal flow without stent placement. We demonstrate a care approach that was carefully arrived upon through multidisciplinary management with vascular surgery and anesthesiology colleagues.
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spelling pubmed-103062482023-06-29 An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only Betageri, Omkar Ashraf, Hassan Hafeez, Adam Kerensky, Richard Huber, Thomas S Massoomi, Michael Cureus Cardiac/Thoracic/Vascular Surgery We present a unique case of a type I peri-operative myocardial infarction during an extensive abdominal aortic aneurysm repair occurring due to the occlusion of a severe stable ostial plaque stenosis by a small overlying thrombus. During coronary angiography, the thrombus was dislodged by the diagnostic catheter which restored normal flow without stent placement. We demonstrate a care approach that was carefully arrived upon through multidisciplinary management with vascular surgery and anesthesiology colleagues. Cureus 2023-05-28 /pmc/articles/PMC10306248/ /pubmed/37388602 http://dx.doi.org/10.7759/cureus.39610 Text en Copyright © 2023, Betageri et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Betageri, Omkar
Ashraf, Hassan
Hafeez, Adam
Kerensky, Richard
Huber, Thomas S
Massoomi, Michael
An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only
title An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only
title_full An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only
title_fullStr An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only
title_full_unstemmed An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only
title_short An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only
title_sort unusual cause of coronary occlusion during an abdominal aortic aneurysm repair: reperfusion with diagnostic angiography only
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10306248/
https://www.ncbi.nlm.nih.gov/pubmed/37388602
http://dx.doi.org/10.7759/cureus.39610
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