CARDIOGENIC SHOCK COMPLICATING ACUTE MYOCARDIAL INFARCTION: SIMULTANEOUS THROMBOSIS IN TWO VESSELS IN A PATIENT WITH CORONARY ANOMALY

Gabriel E. Pérez Baztarrica, Ximena E. Romero Aguilar, Silvia P. Garcia Cantos, Fanny J. Veloz Aguirre, Jessica O. Medranda Vega, Luber I. Pinargote Cedeño, Daniel A. Intriago Montesdeoca, Albina E. Castillo Espinoza, Rafeal Porcile

Abstract


ABSTRACTS

Simultaneous thrombosis of more than one coronary artery is an uncommoncoronary angiographic finding in acute ST-segment elevation myocardialinfarction, and usually associated to cardiogenic shock or even sudden cardiacdeath.The right coronary artery (RCA) originating from the left anteriordescending artery (LAD) is a very rare variant. We presented a 48-year-old malewho had a blood hypertension, smoking, and dyslipidemia history washospitalized due to acute myocardial infarct with cardiogenic shock. Coronaryangiography revealed an aberrant RCA originating from the mid-LAD withthrombosis in both arteries. A successful percutaneous coronary interventionwas performed and he was discharged from the hospital tenth days afteradmission.


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