ABSTRACT
A 38-year-old man with acute myocardial infarction in the lower wall affecting the right ventricle underwent thrombolytic treatment with streptokinase. Approximately 2 hours after the thrombolytic treatment started, he presented with signs of coronary reocclusion. He underwent emergency cineangiocoronariography that revealed that his right coronary artery was completely occluded by a clot. He unsuccessfully underwent angioplasty and stent implantation. After the concomitant use of glycoprotein IIb/IIIa inhibitor, coronary TIMI III flow was achieved without additional dilations, and he was discharged from the hospital 5 days later with no further complications.
Subject(s)
Angioplasty, Balloon, Coronary/methods , Fibrinolytic Agents/therapeutic use , Myocardial Infarction/therapy , Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors , Streptokinase/therapeutic use , Adult , Angioplasty, Balloon, Coronary/adverse effects , Coronary Angiography/methods , Drug Therapy, Combination , Humans , Male , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/drug therapy , Platelet Glycoprotein GPIIb-IIIa Complex/therapeutic useABSTRACT
A 38-year-old man with acute myocardial infarction in the lower wall affecting the right ventricle underwent thrombolytic treatment with streptokinase. Approximately 2 hours after the thrombolytic treatment started, he presented with signs of coronary reocclusion. He underwent emergency cineangiocoronariography that revealed that his right coronary artery was completely occluded by a clot. He unsuccessfully underwent angioplasty and stent implantation. After the concomitant use of glycoprotein IIb/IIIa inhibitor, coronary TIMI III flow was achieved without additional dilations, and he was discharged from the hospital 5 days later with no further complications
