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Simultaneous double coronary thrombosis in a 47-year-old male patient with acute myocardial infarction

Ahmed Mahmoud, Abdul Arabi

(Department of Internal Medicine, University of Florida, Gainesville, USA)

Am J Case Rep 2013; 14:430-434

DOI: 10.12659/AJCR.889556

Background: Double myocardial infarction involving two culprit major vessels is a rarely reported presentation with high incidence of mortality.
Case Report: In this study, we report 47-year-old male patient who had an attack of chest pain associated with ST-segment elevation in the antero-lateral leads. Pharmaco-invasive reperfusion approach was adopted with full dose tissue plasminogen activator, followed by transferring the patient to a specialized heart center for Percutaneous Coronary Intervention (PCI). Coronary angiography showed a fresh thrombus totally occluding Left Anterior Descending (LAD) and another thrombus causing distal total occlusion of a dominant Right Coronary Artery (RCA). Two Bare metal stents were placed in both lesions with Thrombolysis in Myocardial Infarction (TIMI) 3 flow post dilatation, but the patient, unfortunately, went into Ventricular Fibrillation (VF) followed by asystole and died 35 minutes later.
Conclusions:  Acute double vessel coronary artery thrombosis is a serious event that requires prompt diagnosis and management to prevent its complications.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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