CARDIOGENIC SHOCK COMPLICATING ACUTE MYOCARDIAL INFARCTION: SIMULTANEOUS THROMBOSIS IN TWO VESSELS IN A PATIENT WITH CORONARY ANOMALY

Authors

  • Gabriel E. Pérez Baztarrica
  • Ximena E. Romero Aguilar
  • Silvia P. Garcia Cantos
  • Fanny J. Veloz Aguirre
  • Jessica O. Medranda Vega
  • Luber I. Pinargote Cedeño
  • Daniel A. Intriago Montesdeoca
  • Albina E. Castillo Espinoza
  • Rafeal Porcile

DOI:

https://doi.org/10.47144/phj.v52i3.1793

Abstract

ABSTRACTS

Simultaneous thrombosis of more than one coronary artery is an uncommoncoronary angiographic finding in acute ST-segment elevation myocardialinfarction, and usually associated to cardiogenic shock or even sudden cardiacdeath.The right coronary artery (RCA) originating from the left anteriordescending artery (LAD) is a very rare variant. We presented a 48-year-old malewho had a blood hypertension, smoking, and dyslipidemia history washospitalized due to acute myocardial infarct with cardiogenic shock. Coronaryangiography revealed an aberrant RCA originating from the mid-LAD withthrombosis in both arteries. A successful percutaneous coronary interventionwas performed and he was discharged from the hospital tenth days afteradmission.

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How to Cite

1.
Baztarrica GEP, Aguilar XER, Cantos SPG, Aguirre FJV, Vega JOM, Cedeño LIP, Montesdeoca DAI, Espinoza AEC, Porcile R. CARDIOGENIC SHOCK COMPLICATING ACUTE MYOCARDIAL INFARCTION: SIMULTANEOUS THROMBOSIS IN TWO VESSELS IN A PATIENT WITH CORONARY ANOMALY. Pak Heart J [Internet]. 2019Oct.26 [cited 2024Nov.23];52(3). Available from: https://pakheartjournal.com/index.php/pk/article/view/1793