title: Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response.
abstract: We are reporting a clinical case of a 78-year-old male who had oppressive chest pain at rest, which regressed with the intake of sublingual nitrates. Coronary angiography showed a chronic total occlusion (CTO) of the left anterior descending (LAD) artery, a normal circumflex, a hypoplasic right coronary artery and a Cardiac Magnetic Resonance showing vital tissue in anterior wall. During the procedure of CTO-PCI on LAD, patient developed multiple and contemporary coronary thrombosis in spite of low platelet reactivity, which was assessed by using Multiplate. A manual thrombectomy was performed with a good final result only after drug eluting stents (DES) implantation.
authors.affiliation: Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Italy .
authors.forename: Rocco Edoardo
authors.initials: RE
authors.lastname: Stio
authors.affiliation: Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Italy .
authors.forename: Simone
authors.initials: S
authors.lastname: Calcagno
authors.affiliation: Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Italy .
authors.forename: Luigi
authors.initials: L
authors.lastname: Lucisano
authors.affiliation: Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Italy .
authors.forename: Mauro
authors.initials: M
authors.lastname: Pennacchi
authors.affiliation: Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, "Sapienza" University of Rome , Italy .
authors.forename: Gennaro
authors.initials: G
authors.lastname: Sardella
keywords: Aggregometry; Complications adult cath/intervention; Thrombectomy