title: Primary Percutaneous Coronary Intervention by a Stentless Technique for Acute Myocardial Infarction with Idiopathic Thrombocytopenic Purpura: A Case Report and Review of the Literature.
abstract: A 78-year-old man who had been diagnosed with idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with chest pain, cold sweating and nausea. An electrocardiogram and echocardiogram revealed an ST elevated acute lateral myocardial infarction. He underwent an immediate cardiac catheterization. An occluded left circumflex artery was detected by coronary angiography. Reperfusion was performed successfully by non-slip element balloon angioplasty alone, without stenting, to avoid prolonged dual anti-platelet therapy. In this report we discussed the management strategies of acute myocardial infarction in a patient with concomitant ITP.
authors.affiliation: Department of Cardiology, Fukui Prefectural Hospital, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Fujino
authors.forename: Satoru
authors.initials: S
authors.lastname: Niwa
authors.forename: Kensuke
authors.initials: K
authors.lastname: Fujioka
authors.forename: Tomohito
authors.initials: T
authors.lastname: Mabuchi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Noji
authors.forename: Masato
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Takahiko
authors.initials: T
authors.lastname: Aoyama
mesh_terms: D000208:Acute Disease; D000368:Aged; D000800:Angioplasty, Balloon; D002637:Chest Pain; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D015425:Myocardial Reperfusion / Q000379:methods*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications