Acute coronary artery thrombosis and a giant coronary artery aneurysm: An atypical combination and an unconventional catheter-based intervention

✍ Scribed by Esben Hjorth Madsen; Anton Boel Villadsen; Ole Frøbert

• Publisher: John Wiley and Sons
• Year: 2006
• Tongue: English
• Weight: 105 KB
• Volume: 68
• Category: Article
• ISSN: 1522-1946
• DOI: 10.1002/ccd.20793

✦ Synopsis

Abstract

Coronary artery aneurysm is an unusual finding at coronary arteriography. We present a case of acute myocardial infarction and a giant aneurysm of the left circumflex coronary artery (CX) in a 70‐year‐old male with hypertension. The culprit lesion was a thrombus occupying the aneurysm and the distal CX. By an unconventional manoeuvre the thrombus was aspirated via the 7 French guiding catheter. After stent implantation in the distal CX a thrombolysis in myocardial infarction 3 flow was achieved and still present at 2‐month follow‐up. The patient was prescribed aspirin and clopidogrel as a life‐long therapy. © 2006 Wiley‐Liss, Inc.