title: Aspiration thrombectomy for acute myocardial infarction resulting from the sequential occlusions of two major coronary arteries in a short time.
abstract: A 49-year-old man was admitted to our hospital due to chest oppressive sensation. Coronary angiography showed total occlusion in the proximal right coronary artery even after intracoronary nitroglycerin, but no stenosis in the left coronary artery. He was treated with aspiration thrombectomy and stent deployment. After 23 hours, he suddenly had severe chest pain, and ECG showed marked ST elevation in leads I, aVL and V2-6. Surprisingly, coronary angiography showed total occlusion in the proximal left anterior descending artery even after intracoronary nitroglycerin where there had been no stenosis on first angiogram just 23 hours earlier. He was treated with aspiration thrombectomy.
authors.affiliation: Department of Cardiology, Hiroshima City Hospital, Hiroshima.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kurisu
authors.forename: Ichiro
authors.initials: I
authors.lastname: Inoue
authors.forename: Takuji
authors.initials: T
authors.lastname: Kawagoe
authors.forename: Masaharu
authors.initials: M
authors.lastname: Ishihara
authors.forename: Yuji
authors.initials: Y
authors.lastname: Shimatani
authors.forename: Naoya
authors.initials: N
authors.lastname: Mitsuba
authors.forename: Takaki
authors.initials: T
authors.lastname: Hata
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Nakama
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Kisaka
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Kijima
mesh_terms: D017023:Coronary Angiography; D023903:Coronary Restenosis; D003328:Coronary Thrombosis / Q000601:surgery*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D013396:Suction; D017131:Thrombectomy / Q000379:methods