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KMID : 0368120110410100622
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Korean Circulation Journal
2011 Volume.41 No. 10 p.622 ~ p.624
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Simultaneous Total Occlusion of Multiple Distal Coronary Arteries in Acute Myocardial Infarction
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Song Won-Jun
Koo Ja-Kyung
Park Kyoung-Ha
Kim Min-Kyu
Choi Young-Jin
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Abstract
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Simultaneous multiple coronary artery thrombosis is a rare finding in ST segment elevation myocardial infarction (STEMI). We report a case of myocardial infarction with multiple ST segment elevation on the electrocardiography and total occlusions of the distal left anterior descending artery (dLAD), as well as of the second and third obtuse marginal artery on emergency coronary angiography. Thrombus aspiration was performed at dLAD and systemic glycoprotein IIb/IIIa inhibitor was used successfully. In patients with STEMI, multiple coronary thromboses are unusual and associated with patient fatality. However, assertive thrombus aspiration and antiplatelet therapy could be effective in STEMI patients with multiple distal coronary artery occlusions.
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KEYWORD
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Myocardial infarction, Coronary artery disease, Multiple
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