Extensive coronary thrombus causing full thickness myocardial infarction
Extensive coronary thrombus causing full thickness myocardial infarction
A young male presented 22 h following onset of symptoms with an anterior ST-elevation myocardial infarction. He was transferred for rescue angioplasty after failing to reperfuse with thrombolytic therapy. On arrival, his symptoms had settled. Following administration of intracoronary abciximab and passage of an angioplasty wire into the distal LAD, extensive thrombus was demonstrated in the left anterior descending artery extending from the ostium to the distal vessel Figure 1(a). Further intervention with attempted thrombectomy was considered but it was postponed pending a viability study because of the risks of displacing thrombus down the circumflex. A cardiac MRI scan with delayed gadolinium hyper-enhancement demonstrated the classical appearance of full-thickness infarction in the LAD territory Figure 1(b). No further intervention was therefore indicated. At one-year follow-up, the patient remains free of angina with NYHA Class 1 symptoms of heart failure.
percutaneous coronary, heart, heart failure, risk, therapy, therapeutic use, transluminal, magnetic resonance imaging, drug therapy, male, report, immunoglobulin fab fragments, antibodies, diagnosis, coronary angiography, case report, etiology, angioplasty, thrombolytic therapy, humans, monoclonal, complications, coronary thrombosis, anticoagulants, myocardial infarction
p.253
Curzen, Nicholas
70f3ea49-51b1-418f-8e56-8210aef1abf4
Hatrick, Robert
27fb8399-fc3f-4b75-a231-119777a410bc
Peebles, Charles
2f68f796-caf1-4b5b-993f-611e90648988
2007
Curzen, Nicholas
70f3ea49-51b1-418f-8e56-8210aef1abf4
Hatrick, Robert
27fb8399-fc3f-4b75-a231-119777a410bc
Peebles, Charles
2f68f796-caf1-4b5b-993f-611e90648988
Curzen, Nicholas, Hatrick, Robert and Peebles, Charles
(2007)
Extensive coronary thrombus causing full thickness myocardial infarction.
Acute Cardiac Care, 9 (4), .
(doi:10.1080/17482940701278283).
Abstract
A young male presented 22 h following onset of symptoms with an anterior ST-elevation myocardial infarction. He was transferred for rescue angioplasty after failing to reperfuse with thrombolytic therapy. On arrival, his symptoms had settled. Following administration of intracoronary abciximab and passage of an angioplasty wire into the distal LAD, extensive thrombus was demonstrated in the left anterior descending artery extending from the ostium to the distal vessel Figure 1(a). Further intervention with attempted thrombectomy was considered but it was postponed pending a viability study because of the risks of displacing thrombus down the circumflex. A cardiac MRI scan with delayed gadolinium hyper-enhancement demonstrated the classical appearance of full-thickness infarction in the LAD territory Figure 1(b). No further intervention was therefore indicated. At one-year follow-up, the patient remains free of angina with NYHA Class 1 symptoms of heart failure.
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Published date: 2007
Keywords:
percutaneous coronary, heart, heart failure, risk, therapy, therapeutic use, transluminal, magnetic resonance imaging, drug therapy, male, report, immunoglobulin fab fragments, antibodies, diagnosis, coronary angiography, case report, etiology, angioplasty, thrombolytic therapy, humans, monoclonal, complications, coronary thrombosis, anticoagulants, myocardial infarction
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Local EPrints ID: 61031
URI: http://eprints.soton.ac.uk/id/eprint/61031
ISSN: 1748-2941
PURE UUID: dcb31969-ab4f-4ecb-b4fd-1b7d7a19fff4
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Date deposited: 02 Sep 2008
Last modified: 16 Mar 2024 03:45
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Author:
Robert Hatrick
Author:
Charles Peebles
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