Lone aspiration thrombectomy without stenting for a patient with ST-segment elevation myocardial infarction associated with coronary ectasia

A 57-year-old male with a previous history of inferior myocardial infarction suffered from chest pain and diagnosed as ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed a thrombus with delayed filling in the distal right coronary artery. After an aspiration thrombecto...

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Published inCardiovascular intervention and therapeutics Vol. 29; no. 4; pp. 339 - 343
Main Authors Yokokawa, Tetsuro, Ujiie, Yuichi, Kaneko, Hironori, Seino, Yoshitane, Kijima, Mikihiro, Takeishi, Yasuchika
Format Journal Article
LanguageEnglish
Published Tokyo Springer Japan 01.10.2014
Subjects
Cardiology
Case Report
Coronary Angiography
Coronary Thrombosis - diagnostic imaging
Coronary Thrombosis - surgery
Coronary Vessels - pathology
Coronary Vessels - surgery
Dilatation, Pathologic
Humans
Interventional Radiology
Male
Medicine
Medicine & Public Health
Middle Aged
Multidetector Computed Tomography
Myocardial Infarction - surgery
Stents
Suction
Thrombectomy - methods
Treatment Outcome
Ultrasonography, Interventional
Aspiration thrombectomy
ST-segment elevation myocardial infarction
Coronary ectasia
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Summary:A 57-year-old male with a previous history of inferior myocardial infarction suffered from chest pain and diagnosed as ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed a thrombus with delayed filling in the distal right coronary artery. After an aspiration thrombectomy, TIMI 3 flow was restored successfully. An intracoronary ultrasound imaging revealed coronary ectasia. Stenting and ballooning were deferred. A successful lone aspiration thrombectomy was performed for a patient with STEMI associated with coronary ectasia.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1868-4300
1868-4297
DOI:10.1007/s12928-013-0235-3