title: Coronary intervention for acute coronary syndrome in a 51-year-old man with immune thrombocytopenic purpura: a case report.
abstract: BACKGROUND
  Treatment of the rare cases of patients with chronic idiopathic thrombocytopenic purpura with acute coronary syndrome can be a significant problem. The patient in our case report was treated successfully with percutaneous coronary intervention.
  
  
  METHODS
  A 51-year-old man of Turkish origin who had idiopathic thrombocytopenic purpura was admitted to our hospital with severe chest pain. His electrocardiography was normal on admission but dynamic ischemic changes were observed during follow-up. He underwent immediate coronary angiography. In his angiography, left anterior descending artery stenosis was 90% together with the diagonal ostium. Percutaneous coronary intervention was performed successfully. Bleeding complications were not observed after the procedure.
  
  
  CONCLUSIONS
  We report the presence of a rare case of chronic idiopathic thrombocytopenic purpura in a patient with acute coronary syndrome. In this situation a serious multidisciplinary approach is required before coronary intervention.
authors.affiliation: Department of Cardiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey. drdemircelik@yahoo.com.
authors.forename: Bora
authors.initials: B
authors.lastname: Demircelik
authors.forename: Meltem
authors.initials: M
authors.lastname: Altinsoy
authors.forename: Fadime
authors.initials: F
authors.lastname: Bozduman
authors.forename: Mahmut
authors.initials: M
authors.lastname: Gunes
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Cakmak
authors.forename: Beyhan
authors.initials: B
authors.lastname: Eryonucu
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*