Acute coronary artery thrombosis and a giant coronary artery aneurysm: an atypical combination and an unconventional catheter-based intervention.
Coronary artery aneurysm is an unusual finding at coronary arteriography. We present a case of acute myocardial infarction and a giant aneurysm of the left circumflex coronary artery (CX) in a 70-year-old male with hypertension. The culprit lesion was a thrombus occupying the aneurysm and the distal CX. By an unconventional manoeuvre the thrombus was aspirated via the 7 French guiding catheter. After stent implantation in the distal CX a thrombolysis in myocardial infarction 3 flow was achieved and still present at 2-month follow-up. The patient was prescribed aspirin and clopidogrel as a life-long therapy.
Madsen
Esben Hjorth
EH
Department of Cardiology, Aalborg Hospital, Aarhus University Hospital, DK-9000, Denmark. aas.u34058@nja.dk
Villadsen
Anton Boel
AB
Frøbert
Ole
O
D000208:Acute Disease; D000368:Aged; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery / Q000628:therapy*; D017023:Coronary Angiography; D003326:Coronary Circulation; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D015607:Stents; D013318:Stroke Volume; D017131:Thrombectomy