STEMI Due to Big Ostial Left Main Thrombus Extending Into Aorta: Challenging Situation With No Clear Guidelines

STEMI Due to Big Ostial Left Main Thrombus Extending Into Aorta: Challenging Situation With No Clear Guidelines

Extensive left main (LM) coronary artery thrombus is a rare and life-threatening angiographic finding with usual dramatic clinical presentation including hemodynamic instability and sudden cardiac death. The proper management of a big LM thrombus extending into aorta remains a challenging issue with no clear guidelines. In the following case report we present a 45-year-old patient with no appar...

Successful management of ostial left main thrombus by systemic thrombolysis.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . doi:10.1093/eurheartj/ehq416 Online publish-ahead-o...

No STEMI left behind.

T sheer size and complexity of acute coronary syndrome care within the globe’s largest democratic country, comprising 1/6 of the world population, constitutes an issue of such enormous scope that it is challenging to find an appropriate beginning or ending. Moreover i f current trends persist without correction, this monumental challenge promises to extract a huge economic burden from both the ...

Left main coronary artery occlusion due to thrombus embolization from a prosthetic mitral valve.

A 46-year-old woman with a history of rheumatic heart disease and mitral and aortic valve replacement with mechanical bileaflet prosthesis was admitted with acute anterior wall ST-segment elevation myocardial infarction and cardiogenic shock after discontinuation of anticoagulant therapy. She underwent emergency coronary catheterization. Fluoroscopy confirmed normal motion of the prosthetic val...

Luetic aortitis causing severe left main ostial stenosis.