Author/Authors :
Kos, Nikola Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Radeljic, Vjekoslav Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Pavlović, Nikola Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Kordic, Kresimir Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Dula, Kristijan Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Bulj, Nikola Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Krčmar, Tomislav Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Delić Brkljačić, Diana Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Zeljković, Ivan Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia , Manola, Šime Department of Cardiovascular Diseases - University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia
Abstract :
Background. Spontaneous recanalization of a chronically occluded artery is rare and reported anecdotally. Case Summary. We
report a case of a patient with a chronically occluded right coronary artery, found on a coronary angiography performed due to
acute ST elevation myocardial infarction with an occluded circumflex artery as a culprit lesion. Three months later, a follow-up
angiography was performed and a recanalization of the occluded right coronary artery was detected. Discussion. There is a
possibility that intrinsic fibrinolytic mechanisms with the additional effect of standard antithrombotic drugs administrated after
the acute coronary event led to the recanalization.
