Scary acute left main coronary artery thrombus as an initial presentation of a hereditary thrombophilia: When to go out of routine?

Sinem Kilic; Ahmet Hakan Ates; Uğur Canpolat; Kudret Aytemir

doi:10.58600/eurjther.20232902-446.y

Authors

Sinem Kilic Hacettepe University Faculty of Medicine, Department of Cardiology, Ankara, Turkey https://orcid.org/0000-0002-1269-4789
Ahmet Hakan Ates Hacettepe University Faculty of Medicine, Department of Cardiology, Ankara, Turkey https://orcid.org/0000-0001-5414-7268
Uğur Canpolat Hacettepe University Faculty of Medicine, Department of Cardiology, Ankara, Turkey https://orcid.org/0000-0002-4250-1706
Kudret Aytemir Hacettepe University Faculty of Medicine, Department of Cardiology, Ankara, Turkey https://orcid.org/0000-0001-9279-8424

DOI:

https://doi.org/10.58600/eurjther.20232902-446.y

Keywords:

acute coronary syndrome, coronary thrombus, thrombophilia

Abstract

Patients with either hereditary or acquired thrombophilia can present with arterial and venous thrombotic complications. However, it is unclear to whom the thrombophilia panel should be assessed, particularly in patients presenting with a common cardiovascular risk factor and acute coronary thrombus. Herein, we presented the management of an active smoker female patient who presented to our emergency room with inferior acute ST-segment elevation myocardial infarction, and hereditary thrombophilia has been diagnosed due to the presence of substantial left main coronary artery thrombus.

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References

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