Author/Authors :
Silva Matte, Bruno da Hospital de Clınicas de Porto Alegre - Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil , Neves de Araujo, Gustavo Hospital de Clınicas de Porto Alegre - Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil , Homem Valle, Felipe Hospital de Clınicas de Porto Alegre - Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil , Rocha Krepsky, Ana Maria Hospital de Clınicas de Porto Alegre - Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Abstract :
We here report a case of ST-elevation myocardial infarction (STEMI) due to simultaneous acute coronary artery occlusions of two
major coronary arteries in a patient with coronary ectasia. )e patient had been previously submitted to percutaneous coronary
angioplasty with bare metal stent implantation in both culprit vessels. Very late stent thrombosis could be the cause of the first
occlusion, triggering the event in the other vessel. In addition, concomitant embolic sources were not identified. Although routine
aspiration thrombectomy in STEMI was not proven to be beneficial in randomized clinical trials, it was of great value in this case.
We also discuss the relation between coronary ectasia, chronic inflammatory status, and increased platelet activity which may have
caused plaque disruption in another already vulnerable vessel.
