RESUMO
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.
Assuntos
Cateterismo Cardíaco , Trombose Coronária/cirurgia , Trombólise Mecânica , Infarto do Miocárdio/cirurgia , Adulto , Trombose Coronária/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/diagnóstico por imagem , RadiografiaAssuntos
Aorta/cirurgia , Aneurisma Aórtico/etiologia , Estenose da Valva Aórtica/cirurgia , Valva Aórtica/cirurgia , Calcinose , Valva Mitral/cirurgia , Adulto , Aorta/patologia , Aneurisma Aórtico/patologia , Aneurisma Aórtico/cirurgia , Valva Aórtica/patologia , Estenose da Valva Aórtica/patologia , Humanos , Masculino , Valva Mitral/patologia , Reoperação , Fatores de TempoRESUMO
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.
