Multiple coronary artery thrombosis in a 41-year-old male patient presenting with ST-segment elevation myocardial infarction

Al Suwaidi, J.; Al-Qahtani, A.

Journal of Invasive Cardiology 24(3): E43-E46

2012


ISSN/ISBN: 1557-2501
PMID: 22388313
Document Number: 658091
Simultaneous occlusion of multiple epicardial coronary arteries is an uncommon finding in patients presenting with ST-segment elevation myocardial infarction (STEMI). We describe a 41- year-old male Asian patient who presented with inferior and anterior STEMI complicated by cardiogenic shock and frequent life-threatening ventricular arrhythmias. The patient was subsequently found to have acute occlusion of the proximal right coronary artery (RCA) and proximal left anterior descending coronary artery (LAD). The patient was treated with primary percutaneous coronary interventions for RCA and LAD, and intra-aortic balloon pump placement showed excellent results. Based on the available literature, early PCI for this very rare condition is paramount for patient survival.

Document emailed within 1 workday
Secure & encrypted payments