Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction

We present a clinical case of early occlusion of the non-infarct-related artery (non-IRA) in a patient with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (pPCI). Several hours after successful percutaneous treatment of the occluded right coronary...

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Autores principales: Wolny, Rafał, Pręgowski, Jerzy, Bekta, Paweł, Chmielak, Zbigniew, Witkowski, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495130/
https://www.ncbi.nlm.nih.gov/pubmed/26161106
http://dx.doi.org/10.5114/pwki.2015.52287
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author Wolny, Rafał
Pręgowski, Jerzy
Bekta, Paweł
Chmielak, Zbigniew
Witkowski, Adam
author_facet Wolny, Rafał
Pręgowski, Jerzy
Bekta, Paweł
Chmielak, Zbigniew
Witkowski, Adam
author_sort Wolny, Rafał
collection PubMed
description We present a clinical case of early occlusion of the non-infarct-related artery (non-IRA) in a patient with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (pPCI). Several hours after successful percutaneous treatment of the occluded right coronary artery the patient developed a second myocardial infarction, which was caused by acute occlusion of the left anterior descending artery, which had a significant lesion in the proximal segment. The lesion was diagnosed during the first catheterization, but was left untreated. We discuss the potential advantages and risks associated with the ad-hoc multivessel PCI strategy in STEMI.
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spelling pubmed-44951302015-07-09 Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction Wolny, Rafał Pręgowski, Jerzy Bekta, Paweł Chmielak, Zbigniew Witkowski, Adam Postepy Kardiol Interwencyjnej Case Report We present a clinical case of early occlusion of the non-infarct-related artery (non-IRA) in a patient with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (pPCI). Several hours after successful percutaneous treatment of the occluded right coronary artery the patient developed a second myocardial infarction, which was caused by acute occlusion of the left anterior descending artery, which had a significant lesion in the proximal segment. The lesion was diagnosed during the first catheterization, but was left untreated. We discuss the potential advantages and risks associated with the ad-hoc multivessel PCI strategy in STEMI. Termedia Publishing House 2015-06-22 2015 /pmc/articles/PMC4495130/ /pubmed/26161106 http://dx.doi.org/10.5114/pwki.2015.52287 Text en Copyright © 2015 Termedia http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wolny, Rafał
Pręgowski, Jerzy
Bekta, Paweł
Chmielak, Zbigniew
Witkowski, Adam
Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction
title Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction
title_full Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction
title_fullStr Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction
title_full_unstemmed Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction
title_short Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction
title_sort early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in st-elevation myocardial infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495130/
https://www.ncbi.nlm.nih.gov/pubmed/26161106
http://dx.doi.org/10.5114/pwki.2015.52287
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