Noninvasive Recanalization of a Coronary Chronic Total Occlusion

BACKGROUND: Spontaneous recanalization of a chronically occluded artery is rare and reported anecdotally. CASE SUMMARY: We report a case of a patient with a chronically occluded right coronary artery, found on a coronary angiography performed due to acute ST elevation myocardial infarction with an o...

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Detalles Bibliográficos
Autores principales: Kos, Nikola, Radeljić, Vjekoslav, Pavlović, Nikola, Kordić, Krešimir, Đula, Kristijan, Bulj, Nikola, Krčmar, Tomislav, Brkljačić, Diana Delić, Zeljković, Ivan, Manola, Šime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481135/
https://www.ncbi.nlm.nih.gov/pubmed/31093381
http://dx.doi.org/10.1155/2019/7979316
Descripción
Sumario:BACKGROUND: Spontaneous recanalization of a chronically occluded artery is rare and reported anecdotally. CASE SUMMARY: We report a case of a patient with a chronically occluded right coronary artery, found on a coronary angiography performed due to acute ST elevation myocardial infarction with an occluded circumflex artery as a culprit lesion. Three months later, a follow-up angiography was performed and a recanalization of the occluded right coronary artery was detected. DISCUSSION: There is a possibility that intrinsic fibrinolytic mechanisms with the additional effect of standard antithrombotic drugs administrated after the acute coronary event led to the recanalization.

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