title: Simultaneous total occlusion of multiple distal coronary arteries in acute myocardial infarction.
abstract: Simultaneous multiple coronary artery thrombosis is a rare finding in ST segment elevation myocardial infarction (STEMI). We report a case of myocardial infarction with multiple ST segment elevation on the electrocardiography and total occlusions of the distal left anterior descending artery (dLAD), as well as of the second and third obtuse marginal artery on emergency coronary angiography. Thrombus aspiration was performed at dLAD and systemic glycoprotein IIb/IIIa inhibitor was used successfully. In patients with STEMI, multiple coronary thromboses are unusual and associated with patient fatality. However, assertive thrombus aspiration and antiplatelet therapy could be effective in STEMI patients with multiple distal coronary artery occlusions.
authors: Cardiovascular Division, Department of Internal Medicine, Hallym University Medical Center, Seoul, Korea.
authors: Won-Jun
authors: WJ
authors: Song
authors: Ja-Kyung
authors: JK
authors: Koo
authors: Kyoung-Ha
authors: KH
authors: Park
authors: Min-Kyu
authors: MK
authors: Kim
authors: Young-Jin
authors: YJ
authors: Choi