title: Left main crossover stenting in a patient with severe thrombocytopenia due to aplastic anemia.
abstract: A 76-year-old man with aplastic anemia presented with recurrent acute myocardial infarction (AMI) with heart failure. After the initial appearance of AMI approximately 2 months earlier, he had received conservative treatment/transfusion alone because of severe thrombocytopenia and anemia (platelet 11 × 103/μL, hemoglobin 6.4 g/dL). Refractory heart failure persisted despite repeated conservative treatment/transfusion for the second AMI, and therefore, we performed transradial coronary angiography and left main crossover stenting with a bare metal stent. His critical condition markedly improved; however, soon after discharge, he complicated with subdural hematoma. He has since been free of cardiovascular/hemorrhagic events for 7 months without antiplatelet/anticoagulant therapy.
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Marie
authors.initials: M
authors.lastname: Nishikawa
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto, 605-0981, Japan. risa11221998@yahoo.co.jp.
authors.forename: Jun
authors.initials: J
authors.lastname: Shiraishi
authors.affiliation: Department of Hematology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Muneo
authors.initials: M
authors.lastname: Ohshiro
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Yashige
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hyogo
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Takahisa
authors.initials: T
authors.lastname: Sawada
mesh_terms: D000368:Aged; D000741:Anemia, Aplastic / Q000150:complications* / Q000473:pathology; D019917:Blood Vessel Prosthesis Implantation; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006408:Hematoma, Subdural / Q000209:etiology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000601:surgery*; D062645:Percutaneous Coronary Intervention; D012008:Recurrence; D015607:Stents; D013921:Thrombocytopenia / Q000209:etiology; D018084:Ultrasonography, Interventional
keywords: Bare metal stent; Complications; Percutaneous coronary intervention; Subdural hematoma