Multivessel acute coronary thrombosis and occlusion - An unusual cause of cardiogenic shock

Yoav Turgeman, Khaled Suleiman, Shaul Atar

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

A 44-year-old male was admitted with ST-elevation myocardial infarction and cardiogenic shock. Angiography revealed a left anterior descending artery (LAD) as well as right a coronary artery acute thrombotic occlusion and large mobile thrombi in the circumflex artery. He was treated mainly with multivessel thrombus aspiration and intra-aortic balloon insertion. Subsequent intravascular ultrasound a week later revealed mild disease of the LAD only. We suggest that in selected patients with cardiogenic shock, plaque rupture with resultant acute thrombosis in a single coronary artery may lead to low coronary perfusion pressure and consequent multivessel thrombus formation. Thrombus aspiration should be the main therapeutic modality in such unusual cases.

Original languageEnglish
Pages (from-to)E278-E280
JournalJournal of Invasive Cardiology
Volume19
Issue number9
StatePublished - Sep 2007
Externally publishedYes

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