TCTAP C-062 Thrombus or Calcified Nodule? Acute Coronary Syndrome Caused by Left Main Disease

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Thrombus of the left main coronary artery.

A 50 year-old man was admitted for elective percutaneous coronary intervention. After rotational atherectomy was performed, perforation of the second diagonal coronary artery occurred, resulting in cardiac tamponade. Emergency pericardiocentesis was performed and intravenous protamine was administered. After tamponading the coronary perforation with prolonged intracoronary balloon inflation, co...

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A Case of Acute Myocardial Infarction Caused by Distal Embolization of a Left Main Coronary Artery Thrombus

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Outcome of emergency conventional coronary surgery for acute coronary syndrome due to left main coronary disease.

BACKGROUND Outcomes of emergency coronary artery bypass grafting (CABG) for acute coronary syndrome (ACS) due to left main coronary (LMT) disease remain unclear. This study aimed to assess prognoses for patients undergoing emergency CABG for ACS due to LMT disease. METHODS One hundred and four patients undergoing emergency CABG for ACS due to LMT disease were retrospectively reviewed. All pat...

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[Acute coronary syndrome due to distal embolization of a thrombus located in the left main coronary artery].

A 54-year-old man with exertional angina of 2 months’ evolution came to the hospital for pain that had lasted 1.45 h. The electrocardiogram showed ST segment elevation of 2 mm in leads I and aVL. Clopidogrel and acetylsalicylic acid were administered. Angiography disclosed a filling defect in the left main coronary artery (LMCA) consistent with a large thrombus, occlusion of the first diagonal ...

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[Left main coronary artery disease].

There are many causes of left main coronary artery disease, the first of which is atherosclerosis. Other rarer causes may be observed, such as acute and chronic occlusions, spasm and primary and secondary dissection. The prevalence of stenosis of the left main coronary artery at coronary angiography is about 5%. The risk factors are the same as for coronary artery disease. The symptoms are angi...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2014

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2014.02.328