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KMID : 0882420140870030334
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Korean Journal of Medicine
2014 Volume.87 No. 3 p.334 ~ p.337
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Consecutive Multivessel Myocardial Infarction during Primary Percutaneous Coronary Intervention
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Park Byoung-Won
Seo Dae-Chul
Ham Nam-Seok
Park Jung-Wan
Chung Jin-Wook
Bang Duk-Won
Hyon Min-Su
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Abstract
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ST-elevation myocardial infarction (STEMI) involving multivessel coronary arteries is extremely rare. Consecutive STEMI in a nonculprit vessel during primary percutaneous coronary intervention (PCI) of the culprit vessel has not been reported. A 53-year-old male presented to the emergency department with anterior wall STEMI. Just after successful primary PCI of the left anterior descending artery, inferior wall STEMI developed. PCI of the right coronary arteries was performed successfully. Five days later, the patient was discharged without symptoms of heart failure. This case underlines the high thrombogenicity along the coronary arteries in patients with STEMI.
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KEYWORD
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Multivessel, ST-elevation myocardial infarction, Percutaneous coronary intervention, Glycoprotein IIb-IIIa
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