Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response

Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response

We are reporting a clinical case of a 78-year-old male who had oppressive chest pain at rest, which regressed with the intake of sublingual nitrates. Coronary angiography showed a chronic total occlusion (CTO) of the left anterior descending (LAD) artery, a normal circumflex, a hypoplasic right co...

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Bibliographic Details
Main Authors: Rocco Edoardo Stio, Simone Calcagno, Luigi Lucisano, Mauro Pennacchi, Gennaro Sardella
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
complications adult cath/intervention
thrombectomy
aggregometry
Online Access:https://jcdr.net/articles/PDF/4657/7811_CE(Ra)_E(C)_F(H)_PF1(AGH)_PFA(P)_PF2(PAG).pdf
Description
Summary:We are reporting a clinical case of a 78-year-old male who had oppressive chest pain at rest, which regressed with the intake of sublingual nitrates. Coronary angiography showed a chronic total occlusion (CTO) of the left anterior descending (LAD) artery, a normal circumflex, a hypoplasic right coronary artery and a Cardiac Magnetic Resonance showing vital tissue in anterior wall. During the procedure of CTO-PCI on LAD, patient developed multiple and contemporary coronary thrombosis in spite of low platelet reactivity, which was assessed by using Multiplate. A manual thrombectomy was performed with a good final result only after drug eluting stents (DES) implantation.
ISSN:2249-782X
0973-709X

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