Volume 26, Number 12 (Monthly_March 2016)                   J Urmia Univ Med Sci 2016, 26(12): 1090-1094 | Back to browse issues page


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Askari B, Rostamzadeh A, Khademvatan K. BULKY AND TUBULAR INTRACORONARY THROMBOSIS: INTRAOPERATIVE THROMBECTOMY AND CORONARY ARTERY BYPASS GRAFTING. J Urmia Univ Med Sci. 2016; 26 (12) :1090-1094
URL: http://umj.umsu.ac.ir/article-1-3292-en.html

Assistant Professor in Cardiac Surgery, Seyed-al-Shohada Cardiac Specialized Hospital, Urmia University of Medical Sciences, Urmia, Iran , askaribehnam@ymail.com
Abstract:   (1727 Views)

A 46 year-old man with a history of hyperlipidemia was admitted with acute anterior ST-segment elevation MI and his ejection fraction was 30%.  He had rest typical chest pain despite routine and complete medical treatment. Urgent coronary catheterization revealed complete occlusion in the proximal of LAD artery with bulky thrombosis (TIMI flow =0-1). Complete   thrombosuction and primary PCI was not possible. Urgent three graft CABG was done due to symptoms of patient and unsuccessful PCI.

Total lumen of LAD and diagonal arteries were full of clot. Large and tubular clots of LAD and diagonal were removed with endarterectomy spatula, irrigation with heparinized saline and retrograde coronary perfusion via coronary sinus catheter. Postoperative period was uneventful.

This patient was very rare case due to intracoronary thrombectomy via surgery and also due to   bulky and large clot that involved all way of coronary arteries. Similar cases were not found in different literatures. 

SOURCE: URMIA MED J 2016: 26(12): 1094 ISSN: 1027-3727

Full-Text [PDF 437 kb]   (425 Downloads)    
Type of Study: case report | Subject: قلب و عروق
Received: 2016/03/15 | Accepted: 2016/03/15 | Published: 2016/03/15

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