title: A case of myocardial infarction not to be stented too quickly...
abstract: This is a case of an interventional dilemma about how to manage a large thrombus, located distally from and adherent to a severe stenosis in a coronary venous bypass graft, with a TIMI-3 flow in a patient with a non-ST-elevation myocardial infarction. This case report concerns a 70-year-old female patient, diagnosed with unstable angina, 18 asymptomatic years after coronary bypass surgery. Although a high risk of a severe ischaemic event is present, immediate coronary intervention is not mandatory since perfusion is maintained, and given the real risk of embolisation of the large thrombus, even contra-indicated. From this perspective, the option to bail out and install an extensive antithrombotic therapy prior to delayed intervention is reasonable.
authors: Jessaziekenhuis Hasselt, Belgium.
authors: Christophe
authors: C
authors: Lefebvre
authors: Edouard
authors: E
authors: Benit
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000150:complications; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000150:complications*; D003328:Coronary Thrombosis / Q000150:complications* / Q000188:drug therapy; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000628:therapy*; D015607:Stents
chemical_list: D005343:Fibrinolytic Agents