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Multivessel coronary artery thrombosis

Yumiko Kanei1, Rajesh Janardhanan, John T Fox

  • 1Beth Israel Medical Center, Cardiac Catheterization Laboratory, 11 Dazian, 1st Avenue at 16th Street, New York, NY 10003, USA. yumikanei@hotmail.com

The Journal of Invasive Cardiology
|February 3, 2009
PubMed

Insights

Simultaneous thrombosis in multiple coronary arteries is rare in ST-elevation myocardial infarction (STEMI). Recognizing this critical condition is vital for appropriate patient treatment and management.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • ST-segment elevation myocardial infarction (STEMI) typically involves a single culprit artery.
  • Multivessel coronary artery thrombosis is an infrequent presentation of acute myocardial infarction.

Observation:

  • A case of a 37-year-old male with inferior STEMI and simultaneous large thrombi in the right coronary artery (RCA) and left anterior descending artery (LAD) is presented.
  • A literature review identified 23 patients with multivessel thrombosis during acute myocardial infarction.

Findings:

  • The average patient age was 53 years, with 74% males, often presenting with multiple cardiovascular risk factors.
  • The LAD (78%) and RCA (87%) were the most commonly affected arteries in multivessel thrombosis.
  • Aspiration thrombectomy was employed in 3 reviewed cases.

Implications:

  • Multivessel coronary thrombosis in STEMI, though rare, necessitates prompt recognition for effective therapeutic strategies.
  • Patients with this condition are often critically ill, highlighting the need for specialized care.
  • Understanding the prevalence and patterns of multivessel thrombosis can guide clinical decision-making in complex myocardial infarction cases.

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