Dissolution of a huge spontaneous coronary artery thrombus with a new antiplatelet agent and coronary angioplasty.
A huge thrombus was observed in the proximal portion of the right coronary artery (RCA) in a 75-year-old patient. He presented with symptoms of cardiogenic shock due to acute myocardial infarction. Glycoprotein IIb/IIIa inhibitor (Tirofiban) was administered intra-coronary first, coronary angioplasty was performed later and, dramatic thrombus dissolution was observed on control coronary angiography.
Department of Cardiology, Abant Izzet Baysal University, Düzce Medical School, Konralp/Düzce, Turkey. ramazanakdemir@hotmail.com
Ramazan
R
Akdemir
Cihangir
C
Uyan
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000188:drug therapy* / Q000628:therapy; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D000077466:Tirofiban; D014443:Tyrosine / Q000031:analogs & derivatives / Q000627:therapeutic use*
D005343:Fibrinolytic Agents; D014443:Tyrosine; D000077466:Tirofiban