Complete revascularization of simultaneous multiple culprit lesions in a septuagenarian with ST-elevation myocardial infarction

Ikechukwu A. Ifedili, Tamunoinemi Bob-Manuel, Oluwaseyi Bolorunduro, Raza Askari, Uzoma Ibebuogu

Research output: Contribution to journalArticle

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Abstract

Objective: Unusual clinical course Background: ST-elevation myocardial infarction (STEMI) is usually caused by rupture of unstable plaque with thrombus formation and abrupt cessation of blood flow through a single coronary artery that is deemed the culprit. The simultaneous thrombotic occlusions of multiple coronary arteries in the setting of STEMI is a rare occurrence with implications for patient management and outcome not fully addressed in the current STEMI guidelines, although more recent studies suggest a benefit of complete revascularization compared to culprit vessel-only treatment in the setting of STEMI. Case Report: A 74-year-old female presented with STEMI. Coronary angiography revealed simultaneous multiple coronary thrombotic occlusions involving the right coronary, left circumflex, and ramus intermedius arteries successfully treated with primary percutaneous revascularization at the same setting with good outcome and short hospital length of stay. Conclusions: Although the most appropriate timing to treat simultaneous multiple culprit lesions has yet to be definitively defined, multi-vessel percutaneous coronary intervention in the setting of a STEMI with multiple culprit lesions is feasible with good outcome as shown by our index case.

Original languageEnglish (US)
Pages (from-to)997-1001
Number of pages5
JournalAmerican Journal of Case Reports
Volume17
DOIs
StatePublished - Dec 30 2016

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Length of Stay
Coronary Vessels
Coronary Occlusion
Percutaneous Coronary Intervention
Coronary Angiography
ST Elevation Myocardial Infarction
Rupture
Thrombosis
Arteries
Guidelines
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Complete revascularization of simultaneous multiple culprit lesions in a septuagenarian with ST-elevation myocardial infarction. / Ifedili, Ikechukwu A.; Bob-Manuel, Tamunoinemi; Bolorunduro, Oluwaseyi; Askari, Raza; Ibebuogu, Uzoma.

In: American Journal of Case Reports, Vol. 17, 30.12.2016, p. 997-1001.

Research output: Contribution to journalArticle

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AU - Askari, Raza

AU - Ibebuogu, Uzoma

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