Demircelik Bora, Altinsoy Meltem, Bozduman Fadime, Gunes Mahmut, Cakmak Muzaffer, Eryonucu Beyhan
Department of Cardiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey.
J Med Case Rep. 2014 Jun 20;8:214. doi: 10.1186/1752-1947-8-214.
Treatment of the rare cases of patients with chronic idiopathic thrombocytopenic purpura with acute coronary syndrome can be a significant problem. The patient in our case report was treated successfully with percutaneous coronary intervention.
A 51-year-old man of Turkish origin who had idiopathic thrombocytopenic purpura was admitted to our hospital with severe chest pain. His electrocardiography was normal on admission but dynamic ischemic changes were observed during follow-up. He underwent immediate coronary angiography. In his angiography, left anterior descending artery stenosis was 90% together with the diagonal ostium. Percutaneous coronary intervention was performed successfully. Bleeding complications were not observed after the procedure.
We report the presence of a rare case of chronic idiopathic thrombocytopenic purpura in a patient with acute coronary syndrome. In this situation a serious multidisciplinary approach is required before coronary intervention.
治疗患有慢性特发性血小板减少性紫癜并伴有急性冠状动脉综合征的罕见患者可能是一个重大问题。我们病例报告中的患者通过经皮冠状动脉介入治疗获得了成功。
一名51岁的土耳其裔男子，患有特发性血小板减少性紫癜，因严重胸痛入住我院。入院时他的心电图正常，但在随访期间观察到动态缺血变化。他立即接受了冠状动脉造影。在造影中，左前降支动脉狭窄90%，同时伴有对角支开口处狭窄。经皮冠状动脉介入治疗成功实施。术后未观察到出血并发症。
我们报告了一例患有急性冠状动脉综合征的慢性特发性血小板减少性紫癜罕见病例。在这种情况下，冠状动脉介入治疗前需要采取严肃的多学科方法。
