Aspiration thrombectomy of a massive thrombotic embolus in acute myocardial infarction caused by coronary embolism.
Coronary embolism is one of the less common causes of acute myocardial infarction (AMI). We describe a 72-year-old man with atrial fibrillation having an AMI, in whom a massive intracoronary thrombus of the right coronary artery was successfully removed by aspiration via a thrombectomy catheter, achieving successful reperfusion with a complete resolution of ST-segment elevation. The appearance of the aspirated material suggested coronary embolism was the cause of the AMI. It is concluded aspiration thrombectomy is a feasible and safe approach for treating coronary embolism.
Sakai
Koyu
K
Department of Cardiology, Kokura Memorial Hospital, Kitakyushu.
Inoue
Katsumi
K
Nobuyoshi
Masakiyo
M
D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications / Q000503:physiopathology; D006328:Cardiac Catheterization / Q000295:instrumentation; D017023:Coronary Angiography; D003331:Coronary Vessels; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D013923:Thromboembolism / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery