Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response
Published: August 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4657
Rocco Edoardo Stio, Simone Calcagno, Luigi Lucisano,
Mauro Pennacchi, Gennaro Sardella
1. Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.
2. Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.
3. Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.
4. Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.
5. Faculty, Department of Cardiovascular, Respiratory and Morphologic Sciences, Policlinico Umberto I, “Sapienza” University of Rome, Italy.
Correspondence
Dr. Rocco Edoardo Stio,
Viale del Policlinico 155, 00161 Rome, Italy.
Phone: +393920973677, E-mail: rocco.stio@libero.it
We are reporting a clinical case of a 78-year-old male who had oppressive chest pain at rest, which regressed with the intake of sublingual nitrates. Coronary angiography showed a chronic total occlusion (CTO) of the left anterior descending (LAD) artery, a normal circumflex, a hypoplasic right coronary artery and a Cardiac Magnetic Resonance showing vital tissue in anterior wall. During the procedure of CTO-PCI on LAD, patient developed multiple and contemporary coronary thrombosis in spite of low platelet reactivity, which was assessed by using Multiplate. A manual thrombectomy was performed with a good final result only after drug eluting stents (DES) implantation.
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