Yıl: 2015 Cilt: 22 Sayı: 2 Sayfa Aralığı: 110 - 112 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report

Öz:
Akut ST segment elevasyonlu miyokard enfarktüsü (STEMI) ile eş zamanlı çoklu koroner arter trombozisi nadir görülen durumdur ve kötüprognoz ile ilişkilidir. 63 yaşındaki erkek hasta 3 saat önce başlayan ani göğüs ağrısı şikayetiyle acil servise başvurdu. Hastaya akut inferiorSTEMI tanısı konuldu. Yapılan acil koroner anjiografi de sol ön inen (LAD), sol sirkümfleks (LCx) ve sol sirkümfleks arterin ilk dalı (obtüsmarjin) arterde akut tromboz saptandı. Obtüs marjin lezyonuna stent uygulandı, LAD ve LCx deki trombüs için tirofiban (glikoprotein 2b/3ainhibitörü) infüzyonu kararı verildi. Tirofiban infüzyonu sonrası yapılan koroner anjiografide koroner arterlerde trombüs izlenmedi. Hastakomplikasyonsuz taburcu edildi.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Akut Miyokard Enfarktüsü Geçiren Bir Hastada Multi Koroner Arter Trombozu

Öz:
Acute ST-segment elevation myocardial infarction (STEMI) complicated with multiple coronary artery thrombosis is a rare clinical situatio and is associated with poor prognosis. A 63-year-old male patient was admitted to the emergency department with sudden chest pain tha had started three hours ago. The patient was diagnosed with acute inferior STEMI. The emergency coronary angiography showed acut arterial thrombosis in the left anterior descending (LAD), left circumflex (LCx), and the left first branch of the circumflex artery (obtus margin). Obtuse margin of the lesion was treated with a stent. We decided to infuse tirofiban (glycoprotein 2b/3a inhibition) for th thrombosis in the LAD and CX vessels. After the tirofiban infusion, the coronary angiography showed no thrombi in the coronary arteries The patient was discharged without further complications.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA AFŞİN A, OTLU ÖMÜR Y, YILMAZ M, ulutaş z, AÇIKGÖZ N (2015). Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. , 110 - 112.
Chicago AFŞİN ABDULMECİT,OTLU ÖMÜR Yılmaz,YILMAZ Mahmut,ulutaş zeynep,AÇIKGÖZ Nusret Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. (2015): 110 - 112.
MLA AFŞİN ABDULMECİT,OTLU ÖMÜR Yılmaz,YILMAZ Mahmut,ulutaş zeynep,AÇIKGÖZ Nusret Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. , 2015, ss.110 - 112.
AMA AFŞİN A,OTLU ÖMÜR Y,YILMAZ M,ulutaş z,AÇIKGÖZ N Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. . 2015; 110 - 112.
Vancouver AFŞİN A,OTLU ÖMÜR Y,YILMAZ M,ulutaş z,AÇIKGÖZ N Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. . 2015; 110 - 112.
IEEE AFŞİN A,OTLU ÖMÜR Y,YILMAZ M,ulutaş z,AÇIKGÖZ N "Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report." , ss.110 - 112, 2015.
ISNAD AFŞİN, ABDULMECİT vd. "Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report". (2015), 110-112.
APA AFŞİN A, OTLU ÖMÜR Y, YILMAZ M, ulutaş z, AÇIKGÖZ N (2015). Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 22(2), 110 - 112.
Chicago AFŞİN ABDULMECİT,OTLU ÖMÜR Yılmaz,YILMAZ Mahmut,ulutaş zeynep,AÇIKGÖZ Nusret Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 22, no.2 (2015): 110 - 112.
MLA AFŞİN ABDULMECİT,OTLU ÖMÜR Yılmaz,YILMAZ Mahmut,ulutaş zeynep,AÇIKGÖZ Nusret Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.22, no.2, 2015, ss.110 - 112.
AMA AFŞİN A,OTLU ÖMÜR Y,YILMAZ M,ulutaş z,AÇIKGÖZ N Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2015; 22(2): 110 - 112.
Vancouver AFŞİN A,OTLU ÖMÜR Y,YILMAZ M,ulutaş z,AÇIKGÖZ N Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2015; 22(2): 110 - 112.
IEEE AFŞİN A,OTLU ÖMÜR Y,YILMAZ M,ulutaş z,AÇIKGÖZ N "Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 22, ss.110 - 112, 2015.
ISNAD AFŞİN, ABDULMECİT vd. "Multivessel Coronary Artery Thrombosis Accompanying Acute Myocardial Infarction: A Case Report". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 22/2 (2015), 110-112.