CORONARY EMBOLISM WITH FRAGMENTED THROMBUS FROM THE LEFT VENTRICLE IN PATIENT WITH POSTINFARCTION ANEURYSM
| Autor: | Dmitry V. Duplyakov, V. S. Ivanov, T. V. Kislukhin, S. M. Khokhlunov, E. R. Perunova, Yu. F. Salakhova, S. E. Burnazyan, E. I. Bazhenova, S. V. Gar'kina |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment coronary artery thromboembolism RM1-950 Aneurysm Internal medicine medicine Diseases of the circulatory (Cardiovascular) system Pharmacology (medical) Myocardial infarction cardiovascular diseases Thrombus business.industry percutaneous coronary intervention Percutaneous coronary intervention Clopidogrel medicine.disease Thrombosis Coronary arteries Left Ventricular Aneurysm medicine.anatomical_structure myocardial infarction RC666-701 Cardiology cardiovascular system Therapeutics. Pharmacology Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Racionalʹnaâ Farmakoterapiâ v Kardiologii, Vol 7, Iss 6, Pp 739-743 (2016) |
| ISSN: | 2225-3653 1819-6446 |
| Popis: | The thrombus formation in the left ventricle (LV) cavity is a frequent complication of myocardial infarction (MI) as well as a risk factor for peripheral arterial embolism. Probability of intraventricular thrombus depends on MI location and its therapy. A case of coronary embolism in a patient with anterior MI and thrombus in the LV aneurysm is considered in details. Successful percutaneous coronary intervention (PCI) in the first 90 minutes after admission was performed. Decision to appoint a three-component antithrombotic therapy (acetylsalicylic acid, clopidogrel, warfarin) was made on the 4th day of disease onset taking into account the combination of MI, stent placement in the anterior interventricular artery and the presence of left ventricular aneurysm with parietal thrombus. Recurrence of MI developed on the 9th day of disease onset. Aspiration thromboembolectomy was performed taking into account thrombosis of two coronary arteries. Warfarin therapy was discontinued in connection with subsequent clot lysis and development of not intensive nosebleed. Subsequent MI course was uneventful. In conclusion, even in spite of the timely achievement of PCI and early reperfusion, MI course can be complicated by thrombosis of the left ventricle and subsequent development of thromboembolic complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|