Treatment of intracoronary thrombus using tirofiban in a patient with normal coronary arteries.
We report a 64-year-old Turkish man who presented with unstable angina pectoris. Coronary angiography revealed massive intracoronary thrombus, which completely occluded the distal part of the left circumflex coronary artery. The thrombotic segment and the rest of the coronary tree were free of atherosclerosis. The patient was treated with intravenous tirofiban, a glycoprotein IIb/IIIa inhibitor. A control angiography was performed one week later and showed total dissolution of the thrombus with tirofiban therapy.
Ozeren
Ali
A
Departments of Cardiology, Karaelmas University, Zonguldak, Turkey.
Aydin
Mustafa
M
Ozkökeli
Mehmet
M
Unalacak
Murat
M
Bilge
Mehmet
M
D000789:Angina, Unstable / Q000209:etiology*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D003331:Coronary Vessels; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D000077466:Tirofiban; D014443:Tyrosine / Q000031:analogs & derivatives* / Q000627:therapeutic use*
D005343:Fibrinolytic Agents; D014443:Tyrosine; D000077466:Tirofiban