Related Experiment Video
Updated: May 18, 2026
08:22
Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
Acute multivessel coronary artery occlusion: a case report
Feng Gan1, Dongnan Hu, Tianran Dai
1Cardiology Care Unit, Beijing General Aerospace Hospital, Beijing, 100076, China. skyganfeng@gmail.com
BMC Research Notes
|September 26, 2012
Summary
This case report details a rare instance of simultaneous acute myocardial infarction affecting two coronary arteries, with one artery showing spontaneous thrombus lysis. Prompt intervention is crucial for managing multivessel coronary occlusion.
Area of Science:
- Cardiology
- Interventional Cardiology
- Acute Myocardial Infarction
Background:
- Multiple simultaneous coronary occlusions during acute myocardial infarction are uncommon.
- The underlying mechanisms of such occlusions remain poorly understood.
Observation:
- An 88-year-old male presented with acute chest pain and ST-segment elevation on ECG in inferior and anterior leads.
- Coronary angiography revealed acute total occlusion of the right coronary artery and thrombus in the left anterior descending artery.
- The patient's ECG evolved, suggesting spontaneous partial lysis of the left anterior descending artery thrombus.
Findings:
- Simultaneous occlusion of the right coronary artery and left anterior descending artery was diagnosed.
- Successful intervention on the right coronary artery was performed.
- Glycoprotein IIb/IIIa inhibitor was administered to the left anterior descending artery.
Implications:
- Timely identification of ECG abnormalities and prompt revascularization are vital in multivessel coronary occlusion.
- Effective management can preserve myocardium and prevent complications like heart failure.
- This case highlights the importance of recognizing and treating rare presentations of acute coronary syndromes.
Related Concept Videos
01:30Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
01:30Acute Coronary Syndrome III: Diagnostic Studies
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
01:26Acute Coronary Syndrome V: Nursing Management
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
01:30Coronary Artery Disease III: Clinical Manifestations
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
01:28Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...