Coronary Embolism Causing Acute Inferior Wall and Ventricular Myocardial Infarction in a Patient with Rheumatic Valvular Heart Disease: Treatment with Thrombus Aspiration

Authors

  • Xiao-Yu Du The Cardiovascular Center, The First Hospital of Jilin University, Changchun
  • Peng Hui The Cardiovascular Center, The First Hospital of Jilin University, Changchun
  • Yang Zheng The Cardiovascular Center, The First Hospital of Jilin University, Changchun

DOI:

https://doi.org/10.1532/hsf.1321

Abstract

An elderly man with rheumatic valvular heart disease and atrial fibrillation presented with acute myocardial infarction. A coronary angiogram revealed complete occlusion of the right coronary artery (RCA), and we therefore considered that a thrombus might have obstructed the ostium of the RCA. We used a guiding catheter and the syringe of an aspiration device to remove two large dark red thrombi. A subsequent angiogram revealed that blood flow through the RCA had recovered, and the endomembrane of the RCA was smooth, with no evidence of stenosis or residual thrombus. In this case, thrombus aspiration via a guiding catheter was efficacious for treating this type of coronary embolism.

Published

2015-06-26

How to Cite

Du, X.-Y., Hui, P., & Zheng, Y. (2015). Coronary Embolism Causing Acute Inferior Wall and Ventricular Myocardial Infarction in a Patient with Rheumatic Valvular Heart Disease: Treatment with Thrombus Aspiration. The Heart Surgery Forum, 18(3), E084-E087. https://doi.org/10.1532/hsf.1321

Issue

Section

Articles