6533b838fe1ef96bd12a4508

RESEARCH PRODUCT

Reinfarction Related to PTCA-Induced Coronary Embolism after Successful Thrombolytic Therapy

Nixdorff URaimund ErbelJürgen Meyer

subject

medicine.medical_specialtybusiness.industrymedicine.medical_treatmentAcute Inferior Myocardial InfarctionThrombolysismedicine.diseaseCoronary embolismStenosismedicine.anatomical_structureAngioplastyInternal medicinemedicineCardiologyRadiology Nuclear Medicine and imagingcardiovascular diseasesMyocardial infarctionEmbolizationCardiology and Cardiovascular MedicinebusinessArtery

description

Coronary embolism originating from residual thrombotic material is one of the complications arising during acute percutaneous transluminal coronary angioplasty (PTCA) in acute myocardial infarction. This case report describes a symptomatic embolization of the right posterolateral and right posterior descending branch during success-ful PTCA of a subtotal stenosis of the midright coronary artery after acute inferior myocardial infarction. Typical ECG signs of reinfarction were recorded. We succeeded in recanalizing these branches by superselective thrombolysis and angioplasty.

https://doi.org/10.1111/j.1540-8183.1989.tb00762.x