Paper Information

Journal:   THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER   2016 , Volume 11 , Number 3; Page(s) 143 To 148.
 
Paper: 

SUCCESSFUL TREATMENT OF A LEFT MAIN THROMBUS BY INTRACORONARY EPTIFIBATIDE INFUSION IN A 36-YEAR-OLD PATIENT

 
 
Author(s):  ALIPOUR PARSA SAEED, FARAHANI ELHAM*
 
* CARDIOVASCULAR RESEARCH CENTER, MODARRES HOSPITAL, SHAHEED BEHESHTI UNIVERSITY OF MEDICAL SCIENCES, SAADAT-ABAD AVENUE, TEHRAN, IRAN. 1997874411
 
Abstract: 

The acute coronary syndrome due to the left main coronary artery (LMCA) thrombosis is a clinically rare and catastrophic event. We describe a young man (smoker, alcoholic, and drug abuser) with a history of recent surgery and typical chest pain who had non-occlusive LMCA thrombosis in coronary angiography. The thrombosis was successfully treated with two 180m/kg intracoronary boluses of eptifibatide, which was continued through an intravenous infusion at 2 m/kg/min for 48 hours postprocedurally. Control angiography, performed 3 days later, revealed that the LMCA was free of thrombosis. The patient had no complaints, including chest pain, and remained completely asymptomatic during the next 30 days' follow-up.

 
Keyword(s): CORONARY VESSELS, THROMBOSIS, EPTIFIBATIDE, THERAPEUTICS
 
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