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Acute Intracoronary Thrombosis in a Normal Coronary Artery Following Coronary Angiography: Thromboaspiration Using a Guide Catheter

A 60-year-old female presented with anterolateral non-ST elevation myocardial infarction and her coronary angiogram revealed severe left system coronary artery disease with a normal right coronary artery. Following coronary angiogram, she developed acute inferior wall and right ventricular ST elevat...

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Detalles Bibliográficos
Autores principales: Panduranga, Prashanth, Riyami, Abdullah Amour
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3000916/
https://www.ncbi.nlm.nih.gov/pubmed/21188001
http://dx.doi.org/10.4103/1995-705X.73218
Descripción
Sumario:A 60-year-old female presented with anterolateral non-ST elevation myocardial infarction and her coronary angiogram revealed severe left system coronary artery disease with a normal right coronary artery. Following coronary angiogram, she developed acute inferior wall and right ventricular ST elevation myocardial infarction with complete atrioventricular block and cardiogenic shock. Repeat coronary angiogram showed large proximal right coronary thrombus causing subtotal occlusion that was successfully aspirated using a guide catheter. The possible causes for intracoronary thrombosis following coronary angiography are discussed here.