| Autor: |
T, Stefenelli, M, Wutte, C, Madl, M, Weissel |
| Rok vydání: |
2001 |
| Předmět: |
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| Zdroj: |
Wiener klinische Wochenschrift. 113(3-4) |
| ISSN: |
0043-5325 |
| Popis: |
A single coronary ostium is traditionally considered to be of little clinical significance. We report a case of a single ostium in the right sinus of Valsalva, giving rise to the right coronary artery, from which the left main coronary artery originated. Sudden death occurred seven days after acute gastrointestinal bleeding and subsequent interruption of aspirin therapy. Acute coronary angiography following successful resuscitation revealed an ascending thrombus in the right coronary artery. The patient underwent a complex percutaneous coronary angioplasty with stent deployment. We conclude that coronary artery disease may lead to severe ischemia with a large area at risk and major complications in patients with coronary anomalies. Patients with acute stent implantation might benefit from platelet aggregation even in cases of recent intestinal bleeding. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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