RESUMO
In patients with acute coronary syndrome, total chronic occlusion of a non-culprit vessel is a frequent angiographic finding (10-30%) and it is associated with increased mortality. The effective treatment of these lesions results in better outcomes, and procedural success depends partly on the anatomical features of the lesion. As indicated by current guidelines, the treatment of non-infarct-related artery lesions is not recommended in the acute setting, even in case of hemodynamic instability. We here report the case of a 57-year-old patient suffering from an acute coronary syndrome with double occlusion, acute and chronic, of the left anterior descending artery, both treated in the acute setting with good angiographic and clinical results.
Assuntos
Síndrome Coronariana Aguda/complicações , Oclusão Coronária/complicações , Síndrome Coronariana Aguda/diagnóstico por imagem , Doença Aguda , Doença Crônica , Oclusão Coronária/diagnóstico por imagem , Oclusão Coronária/patologia , Vasos Coronários/patologia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A 28-year-old man with patent foramen ovale and a prominent Eustachian valve with a history of transient ischemic attack underwent transcatheter closure using Amplatzer patent foramen ovale occluder. During deployment, some of the prominent valve tissue was entrapped on the delivery cable and a piece of the valve was extracted unintentionally. Anatomico-clinical and technical implications are discussed.