1179STEMI due to big ostial left main thrombus extending in to aorta, challenging situation with no clear guidelines

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STEMI Due to Big Ostial Left Main Thrombus Extending Into Aorta: Challenging Situation With No Clear Guidelines

Extensive left main (LM) coronary artery thrombus is a rare and life-threatening angiographic finding with usual dramatic clinical presentation including hemodynamic instability and sudden cardiac death. The proper management of a big LM thrombus extending into aorta remains a challenging issue with no clear guidelines. In the following case report we present a 45-year-old patient with no appar...

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Successful management of ostial left main thrombus by systemic thrombolysis.

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Left main coronary artery occlusion due to thrombus embolization from a prosthetic mitral valve.

A 46-year-old woman with a history of rheumatic heart disease and mitral and aortic valve replacement with mechanical bileaflet prosthesis was admitted with acute anterior wall ST-segment elevation myocardial infarction and cardiogenic shock after discontinuation of anticoagulant therapy. She underwent emergency coronary catheterization. Fluoroscopy confirmed normal motion of the prosthetic val...

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A left atrial thrombus too big to embolize.

Lonergan M, Shelley E, Simoons ML. The Cardiology Audit and Registration Data Standards (CARDS), European data standards for clinical cardiology practice. Eur Heart J 2005;26:308–313. 511. LaBresh KA, Ellrodt AG, Gliklich R, Liljestrand J, Peto R. Get with the guidelines for cardiovascular secondary prevention: pilot results. Arch Intern Med 2004;164:203–209. 512. Mehta RH, Das S, Tsai TT, Nola...

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Syncope Due to a Free-floating Left Atrial Thrombus

A 74-year-old woman with nonvalvular chronic atrial fibrillation was admitted for pre-syncope. She fainted and developed acute arterial occlusion after one month of admission. Echocardiogram showed a 2.6×2.8-cm free-floating ball thrombus in the left atrium (LA) that had not been documented at the initial admission. Its left lateral decubitus position caused left ventricular (LV) inflow obstruc...

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ژورنال

عنوان ژورنال: European Heart Journal

سال: 2017

ISSN: 0195-668X,1522-9645

DOI: 10.1093/eurheartj/ehx495.1179