ABSTRACT
Primary angioplasty and stenting remains the standard of care for patients presenting with acute ST-segment elevation myocardial infarction. Recently, thrombus aspiration has been shown to improve the myocardial perfusion and outcomes in STEMI. In a subset of patients thrombus aspiration may result in optimal perfusion and minimal residual stenosis. These patients may be managed without additional stenting. Three patients with anterior wall STEMI were successfully managed with thrombus aspiration alone without additional stenting. All three are doing well at 30 day follow up with significant improvement in left ventricular ejection fraction.
Subject(s)
Cardiac Catheterization , Coronary Thrombosis/surgery , Mechanical Thrombolysis , Myocardial Infarction/surgery , Adult , Coronary Thrombosis/diagnostic imaging , Humans , Male , Middle Aged , Myocardial Infarction/diagnostic imaging , RadiographySubject(s)
Aorta/surgery , Aortic Aneurysm/etiology , Aortic Valve Stenosis/surgery , Aortic Valve/surgery , Calcinosis , Mitral Valve/surgery , Adult , Aorta/pathology , Aortic Aneurysm/pathology , Aortic Aneurysm/surgery , Aortic Valve/pathology , Aortic Valve Stenosis/pathology , Humans , Male , Mitral Valve/pathology , Reoperation , Time FactorsABSTRACT
BACKGROUND: True ventricular aneurysm in the inferior location is rare. A 54-year-old male was evaluated for recurrent heart failure. METHOD: The echocardiogram showed large aneurysm arising from the inferoposterior wall of the left ventricle and severe mitral regurgitation. RESULTS: The coronary angiogram revealed occluded right coronary artery (RCA) in the mid segment. CONCLUSION: The patient underwent aneurysm repair and coronary artery bypass grafting to RCA.
