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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/12058

Title: A case of myocardial infarction not to be stented too quickly ...
Authors: Lefebvre, Christophe
Benit, Edouard
Issue Date: 2011
Citation: ACTA CARDIOLOGICA, 66(3). p. 379-382
Abstract: This is a case of an interventional dilemma about how to manage a large thrombus, located distally from and adherent to a severe stenosis in a coronary venous bypass graft, with a TIMI-3 flow in a patient with a non-ST-elevation myocardial infarction. This case report concerns a 70-year-old female patient, diagnosed with unstable angina, 18 asymptomatic years after coronary bypass surgery. Although a high risk of a severe ischaemic event is present, immediate coronary intervention is not mandatory since perfusion is maintained, and given the real risk of embolisation of the large thrombus, even contra-indicated. From this perspective, the option to bail out and install an extensive antithrombotic therapy prior to delayed intervention is reasonable.
Notes: [Lefebvre, Christophe; Benit, Edouard] Jessaziekenhuis Hasselt, B-3500 Hasselt, Belgium. edouard.benit@jessazh.be
URI: http://hdl.handle.net/1942/12058
DOI: 10.2143/AC.66.3.2114141
ISI #: 000291449400016
ISSN: 0001-5385
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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