Scary acute left main coronary artery thrombus as an initial presentation of a hereditary thrombophilia: When to go out of routine?
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Keywords:acute coronary syndrome, coronary thrombus, thrombophilia
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.
Lee MS, Bokhoor P, Park SJ, Kim YH, Stone GW, Sheiban I, et al. Unprotected left main coronary disease and ST-segment elevation myocardial infarction: a contemporary review and argument for percutaneous coronary intervention. JACC Cardiovasc Interv 2010;3(8):791-5. https://doi.org/10.1016/j.jcin.2010.06.005.
Sayin MR, Akpinar I, Karabag T, Aydin M, Dogan SM, Cil C. Left main coronary artery thrombus resulting from combined protein C and S deficiency. Intern Med 2012;51(21):3041-4. https://doi.org/10.2169/internalmedicine.51.8341.
Chantadansuwan T, Kehasukcharoen W, Hengrussamee K. Cases report: Experience with rheolytic thrombectomy device (Angiojet) in acute ST elevation myocardial infarction with large amount of coronary thrombus. J Med Assoc Thai 2012;95 Suppl 8:S83-8.
Belli G, Pezzano A, De Biase AM, Bonacina E, Silva P, Salvadè P, et al. Adjunctive thrombus aspiration and mechanical protection from distal embolization in primary percutaneous intervention for acute myocardial infarction. Catheter Cardiovasc Interv 2000;50(3):362-70. https://doi.org/10.1002/1522-726x(200007)50:3%3C362::aid-ccd22%3E3.0.co;2-h
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