Abstract

ALDANA VARELA, Oswaldo et al. Multi-vessel coronary thrombosis and interventricular septal rupture post myocardial infarction with ST elevation, unusual presentation. Cardiovasc. metab. sci [online]. 2021, vol.32, n.1, pp.32-37.  Epub Mar 19, 2024. ISSN 2954-3835.  https://doi.org/10.35366/98228.

Multivessel thrombosis is an uncommon finding in coronary angiography. Ventricular septal rupture is a mechanical complication with high mortality rate in acute myocardial infarction, requiring an invasive emergency treatment. The association of these entities has not been reported in the medical literature. This paper presents the case report of a patient with acute myocardial infarction, that underwent thrombolysis, coronary angiography, percutaneous coronary intervention and emergency surgery due to simultaneous coronary thrombosis of anterior descending artery and right coronary artery with interventricular rupture, refractory cardiogenic shock and death.

Keywords : Coronary thrombosis; multivessel coronary disease; interventricular septal rupture; acute myocardial infarction; coronary angiography.

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