eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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2/2015
vol. 11
 
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Case report
Early occlusion of the non-infarct-related coronary artery following successful primary percutaneous coronary intervention in ST-elevation myocardial infarction

Rafał Wolny
,
Jerzy Pręgowski
,
Paweł Bekta
,
Zbigniew Chmielak
,
Adam Witkowski

Postep Kardiol Inter 2015; 11, 2 (40): 136–140
DOI: https://doi.org/10.5114/pwki.2015.52287
Online publish date: 2015/06/22
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We present a clinical case of early occlusion of the non-infarct-related artery (non-IRA) in a patient with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (pPCI). Several hours after successful percutaneous treatment of the occluded right coronary artery the patient developed a second myocardial infarction, which was caused by acute occlusion of the left anterior descending artery, which had a significant lesion in the proximal segment. The lesion was diagnosed during the first catheterization, but was left untreated. We discuss the potential advantages and risks associated with the ad-hoc multivessel PCI strategy in STEMI
keywords:

non-infarct-related artery, ST-elevation myocardial infarction, multivessel percutaneous coronary intervention
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