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Acute myocardial infarction with occlusion of all three main epicardial coronary arteries: when Mother Nature takes care more than physicians.

作者信息

Monopoli Daniel E, Politi Luigi, Sgura Fabio, Rossi Rosario, Modena Maria G, Sangiorgi Giuseppe M

机构信息

Department of Cardiology, Policlinico University Hospital of Modena, Via del Pozzo 71, 41124, Modena, Italy.

出版信息

Heart Vessels. 2011 Mar;26(2):222-5. doi: 10.1007/s00380-010-0011-6. Epub 2010 Nov 13.

DOI:10.1007/s00380-010-0011-6
PMID:21076923
Abstract

Double-arterial coronary stent thrombosis in acute myocardial infarction (AMI) is an infrequent but severe complication, especially when the third main coronary artery is chronically occluded. The conus artery (CA) can serve as a major source of collateral when the left anterior descendent coronary artery (LAD) becomes obstructed. We report a case of a 48-year-old man presenting with AMI due to a very late double-arterial stent thrombosis (ST) following drug-eluting stent implantation and a chronic occlusion of LAD collateralized by a large anomalous CA, which provided for the entire vascularization of the coronary tree.

摘要

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本文引用的文献

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Resolution of late sirolimus-eluting stent thrombosis after tirofiban treatment.
Heart Vessels. 2009 Sep;24(5):388-90. doi: 10.1007/s00380-009-1149-y. Epub 2009 Sep 27.
2
Adjunctive thrombectomy and distal protection in primary percutaneous coronary intervention: impact on microvascular perfusion and outcomes.在直接经皮冠状动脉介入治疗中辅助性血栓切除术及远端保护：对微血管灌注和预后的影响
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5
Cardiac death and reinfarction after 1 year in the Thrombus Aspiration during Percutaneous coronary intervention in Acute myocardial infarction Study (TAPAS): a 1-year follow-up study.急性心肌梗死经皮冠状动脉介入治疗中血栓抽吸研究（TAPAS）1年后的心源性死亡和再梗死：一项1年随访研究
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Urgent PCI in patients with stent thrombosis: an observational single-center study comparing thrombus aspiration and standard PCI.
J Invasive Cardiol. 2008 Apr;20(4):161-5.
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Effects of drug-eluting stents on systemic inflammatory response in patients with unstable angina pectoris undergoing percutaneous coronary intervention.药物洗脱支架对接受经皮冠状动脉介入治疗的不稳定型心绞痛患者全身炎症反应的影响。
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