Department of Cardiology, School of Medicine, Uludag University, Görükle, Bursa, Turkey.
Heart Lung. 2010 May-Jun;39(3):237-9. doi: 10.1016/j.hrtlng.2009.07.001.
A 60-year old man with a history of coronary-artery bypass grafting presented with symptoms of acute coronary syndrome. Coronary angiography revealed a huge intraluminal thrombus in the saphenous vein graft to the second obtuse marginal branch of the left circumflex artery. A glycoprotein IIb/IIIa inhibitor (tirofiban) was administered intravenously. Two days later, thrombus dissolution and Thrombolysis In Myocardial Infarction (TIMI) grade 3 flow were evident on repeat coronary angiography. Glycoprotein IIb/IIIa inhibitors may be useful in a thrombus-laden saphenous-vein graft.
一位 60 岁的男性，有冠状动脉旁路移植术的病史，出现急性冠状动脉综合征的症状。冠状动脉造影显示左回旋支第二钝缘支的大隐静脉桥内有巨大的腔内血栓。静脉内给予糖蛋白 IIb/IIIa 抑制剂（替罗非班）。两天后，重复冠状动脉造影显示血栓溶解和血栓溶解心肌梗死（TIMI）3 级血流。糖蛋白 IIb/IIIa 抑制剂在血栓负荷大隐静脉桥中可能有用。
