array:25 [
  "pii" => "S2174204913001876"
  "issn" => "21742049"
  "doi" => "10.1016/j.repce.2013.10.021"
  "estado" => "S300"
  "fechaPublicacion" => "2013-10-01"
  "aid" => "334"
  "copyright" => "Sociedade Portuguesa de Cardiologia"
  "copyrightAnyo" => "2013"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Cardiol. 2013;32:835-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4038
    "formatos" => array:3 [
      "EPUB" => 184
      "HTML" => 3194
      "PDF" => 660
    ]
  ]
  "Traduccion" => array:1 [
    "pt" => array:20 [
      "pii" => "S0870255113002126"
      "issn" => "08702551"
      "doi" => "10.1016/j.repc.2013.04.004"
      "estado" => "S300"
      "fechaPublicacion" => "2013-10-01"
      "aid" => "334"
      "copyright" => "Sociedade Portuguesa de Cardiologia"
      "documento" => "article"
      "crossmark" => 0
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "sco"
      "cita" => "Rev Port Cardiol. 2013;32:835-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 3796
        "formatos" => array:3 [
          "EPUB" => 183
          "HTML" => 2949
          "PDF" => 664
        ]
      ]
      "pt" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Imagens em Cardiologia</span>"
        "titulo" => "Enfarte tromb&#243;tico com aspira&#231;&#227;o de grandes trombos"
        "tienePdf" => "pt"
        "tieneTextoCompleto" => "pt"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "835"
            "paginaFinal" => "836"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Thrombotic myocardial infarction with aspiration of large thrombi"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "pt" => true
        ]
        "contienePdf" => array:1 [
          "pt" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0015"
            "etiqueta" => "Figura 3"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr3.jpeg"
                "Alto" => 693
                "Ancho" => 850
                "Tamanyo" => 114778
              ]
            ]
            "descripcion" => array:1 [
              "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Art&#233;ria coron&#225;ria direita ap&#243;s aspira&#231;&#227;o de trombos e angioplastia de bal&#227;o&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Davide Moreira, Anne Delgado, Bruno Marmelo, Lu&#237;s Nunes, Oliveira Santos"
            "autores" => array:5 [
              0 => array:2 [
                "nombre" => "Davide"
                "apellidos" => "Moreira"
              ]
              1 => array:2 [
                "nombre" => "Anne"
                "apellidos" => "Delgado"
              ]
              2 => array:2 [
                "nombre" => "Bruno"
                "apellidos" => "Marmelo"
              ]
              3 => array:2 [
                "nombre" => "Lu&#237;s"
                "apellidos" => "Nunes"
              ]
              4 => array:2 [
                "nombre" => "Oliveira"
                "apellidos" => "Santos"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "pt"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2174204913001876"
          "doi" => "10.1016/j.repce.2013.10.021"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204913001876?idApp=UINPBA00004E"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255113002126?idApp=UINPBA00004E"
      "url" => "/08702551/0000003200000010/v1_201311090028/S0870255113002126/v1_201311090028/pt/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2174204913001888"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2013.10.022"
    "estado" => "S300"
    "fechaPublicacion" => "2013-10-01"
    "aid" => "336"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Cardiol. 2013;32:837-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4119
      "formatos" => array:3 [
        "EPUB" => 166
        "HTML" => 3245
        "PDF" => 708
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>"
      "titulo" => "Single coronary artery with mesocardia&#44; situs inversus&#44; and atrioventricular and ventriculoarterial discordance"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "837"
          "paginaFinal" => "838"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Art&#233;ria coron&#225;ria &#250;nica com mesocardia&#44; <span class="elsevierStyleItalic">situs inversus</span>&#44; discord&#226;ncia aur&#237;culo-ventr&#237;culo e ventr&#237;culo-arterial"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 1137
              "Ancho" => 1028
              "Tamanyo" => 126395
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Atrioventricular and ventriculoarterial discordance with a single coronary artery&#46; Axial &#40;A&#41; and multiplanar &#40;B&#44; C and D&#41; reconstructions showing atrioventricular and ventriculoarterial discordance&#44; with anterior right aorta and posterior left pulmonary artery&#44; infundibular septal defect with subarterial communication &#40;asterisk&#41;&#44; and anomalous origin of the right coronary artery in the left coronary sinus&#44; coursing between the aorta and the pulmonary artery&#46; AD&#58; right atrium&#59; AE&#58; left atrium&#59; Ao&#58; aorta&#59; CD&#58; right coronary artery&#59; Cx&#58; circumflex artery&#59; DA&#58; anterior descending artery&#59; P&#58; pulmonary artery&#59; VD&#58; right ventricle&#59; VE&#58; left ventricle&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ricardo Duarte, Maria Ana Sampaio, Humberto Morais, Constan&#231;a Palma, Jo&#227;o Carlos Costa, Ant&#243;nio Felipe J&#250;nior"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Ricardo"
              "apellidos" => "Duarte"
            ]
            1 => array:2 [
              "nombre" => "Maria Ana"
              "apellidos" => "Sampaio"
            ]
            2 => array:2 [
              "nombre" => "Humberto"
              "apellidos" => "Morais"
            ]
            3 => array:2 [
              "nombre" => "Constan&#231;a"
              "apellidos" => "Palma"
            ]
            4 => array:2 [
              "nombre" => "Jo&#227;o Carlos"
              "apellidos" => "Costa"
            ]
            5 => array:2 [
              "nombre" => "Ant&#243;nio Felipe"
              "apellidos" => "J&#250;nior"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204913001888?idApp=UINPBA00004E"
    "url" => "/21742049/0000003200000010/v1_201312121254/S2174204913001888/v1_201312121254/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2174204913002328"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2013.04.012"
    "estado" => "S300"
    "fechaPublicacion" => "2013-10-01"
    "aid" => "337"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Cardiol. 2013;32:833-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2627
      "formatos" => array:3 [
        "EPUB" => 143
        "HTML" => 1966
        "PDF" => 518
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>"
      "titulo" => "Cardiac computed tomography in the assessment of endocarditis complications"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "833"
          "paginaFinal" => "834"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Tomografia card&#237;aca na avalia&#231;&#227;o de complica&#231;&#245;es por endocardite"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 970
              "Ancho" => 2500
              "Tamanyo" => 315875
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Transesophageal echocardiography with and without color Doppler revealing subaortic flow to the right atrium&#59; &#40;B&#41; cardiac computed tomography confirming the presence of a subaortic fistula &#40;arrow&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Mar&#237;a Mart&#237;n, Luis H&#46; Luyando, Cecilia Corros, Ana Garc&#237;a-Campos, Diego Le&#243;n, Elena Velasco, Esmeralda Cap&#237;n, Mar&#237;a Luisa Rodr&#237;guez, Jos&#233; L&#243;pez, Jes&#250;s M&#46; De la Hera"
          "autores" => array:10 [
            0 => array:2 [
              "nombre" => "Mar&#237;a"
              "apellidos" => "Mart&#237;n"
            ]
            1 => array:2 [
              "nombre" => "Luis H&#46;"
              "apellidos" => "Luyando"
            ]
            2 => array:2 [
              "nombre" => "Cecilia"
              "apellidos" => "Corros"
            ]
            3 => array:2 [
              "nombre" => "Ana"
              "apellidos" => "Garc&#237;a-Campos"
            ]
            4 => array:2 [
              "nombre" => "Diego"
              "apellidos" => "Le&#243;n"
            ]
            5 => array:2 [
              "nombre" => "Elena"
              "apellidos" => "Velasco"
            ]
            6 => array:2 [
              "nombre" => "Esmeralda"
              "apellidos" => "Cap&#237;n"
            ]
            7 => array:2 [
              "nombre" => "Mar&#237;a Luisa"
              "apellidos" => "Rodr&#237;guez"
            ]
            8 => array:2 [
              "nombre" => "Jos&#233;"
              "apellidos" => "L&#243;pez"
            ]
            9 => array:2 [
              "nombre" => "Jes&#250;s M&#46;"
              "apellidos" => "De la Hera"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204913002328?idApp=UINPBA00004E"
    "url" => "/21742049/0000003200000010/v1_201312121254/S2174204913002328/v1_201312121254/en/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>"
    "titulo" => "Thrombotic myocardial infarction with aspiration of large thrombi"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "835"
        "paginaFinal" => "836"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Davide Moreira, Anne Delgado, Bruno Marmelo, Lu&#237;s Nunes, Oliveira Santos"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "Davide"
            "apellidos" => "Moreira"
            "email" => array:2 [
              0 => "davidasmoreira&#64;gmail&#46;com"
              1 => "david&#95;supernova&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Anne"
            "apellidos" => "Delgado"
          ]
          2 => array:2 [
            "nombre" => "Bruno"
            "apellidos" => "Marmelo"
          ]
          3 => array:2 [
            "nombre" => "Lu&#237;s"
            "apellidos" => "Nunes"
          ]
          4 => array:2 [
            "nombre" => "Oliveira"
            "apellidos" => "Santos"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servi&#231;o de Cardiologia&#44; Centro Hospitalar Tondela-Viseu&#44; Viseu&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Enfarte tromb&#243;tico com aspira&#231;&#227;o de grandes trombos"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 725
            "Ancho" => 850
            "Tamanyo" => 87436
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Right coronary artery occluded by thrombi&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 56-year-old Caucasian man with no known history of disease and not taking regular medication was admitted to our hospital with retrosternal chest pain of two hours&#8217; duration&#46; Physical examination showed him to be hemodynamically stable&#44; with no abnormalities on cardiac or pulmonary auscultation&#46; ST-segment elevation was seen in leads II&#44; III and aVF on the 12-lead ECG&#46; Urgent coronary angiography by a right radial approach showed a dominant right coronary artery occluded by thrombi throughout its length&#59; no lesions were observed in the other coronary arteries &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#46; Primary angioplasty of the occluded right coronary was performed and the thrombi were aspirated using a 6F Export<span class="elsevierStyleSup">&#169;</span> AP<span class="elsevierStyleSup">&#169;</span> aspiration catheter &#40;Medtronic Vascular&#44; Santa Rosa&#44; California&#44; USA&#41; and placed in the receptacle&#46; Since the thrombi had become trapped when the aspiration catheter was inserted&#44; the catheter had to be completely withdrawn in order to extract them&#46; Several thrombi&#44; the largest over 30 mm in length&#44; were removed &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Balloon angioplasty was successful&#44; with no residual lesion and with final TIMI flow 3 &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">During the patient&#39;s hospital stay&#44; oral anticoagulation with warfarin was begun&#44; for a target INR of 2&#46;0&#8211;3&#46;0&#46; There were no complications and he was discharged on the fourth day&#44; and was asymptomatic five months after the event&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Case report"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflicts of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2013-03-16"
    "fechaAceptado" => "2013-04-25"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Moreira D&#44; Delgado A&#44; Marmelo B&#44; et al&#46; Enfarte tromb&#243;tico com aspira&#231;&#227;o de grandes trombos&#46; Rev Port Cardiol&#46; 2013&#59;32&#58;835&#8211;836&#46;</p>"
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 725
            "Ancho" => 850
            "Tamanyo" => 87436
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Right coronary artery occluded by thrombi&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 702
            "Ancho" => 850
            "Tamanyo" => 87312
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Thrombi extracted after catheter aspiration&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 693
            "Ancho" => 850
            "Tamanyo" => 118264
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Right coronary artery after thrombus aspiration and balloon angioplasty&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21742049/0000003200000010/v1_201312121254/S2174204913001876/v1_201312121254/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9915"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Images in cardiology"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003200000010/v1_201312121254/S2174204913001876/v1_201312121254/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204913001876?idApp=UINPBA00004E"
]
Share
Journal Information
Vol. 32. Issue 10.
Pages 835-836 (October 2013)
Vol. 32. Issue 10.
Pages 835-836 (October 2013)
Image in cardiology
Open Access
Thrombotic myocardial infarction with aspiration of large thrombi
Enfarte trombótico com aspiração de grandes trombos
Visits
6503
Davide Moreira
Corresponding author
, Anne Delgado, Bruno Marmelo, Luís Nunes, Oliveira Santos
Serviço de Cardiologia, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
This item has received

Under a Creative Commons license
Article information
Full Text
Download PDF
Statistics
Figures (3)
Show moreShow less
Full Text
Case report

A 56-year-old Caucasian man with no known history of disease and not taking regular medication was admitted to our hospital with retrosternal chest pain of two hours’ duration. Physical examination showed him to be hemodynamically stable, with no abnormalities on cardiac or pulmonary auscultation. ST-segment elevation was seen in leads II, III and aVF on the 12-lead ECG. Urgent coronary angiography by a right radial approach showed a dominant right coronary artery occluded by thrombi throughout its length; no lesions were observed in the other coronary arteries (Figure 1). Primary angioplasty of the occluded right coronary was performed and the thrombi were aspirated using a 6F Export© AP© aspiration catheter (Medtronic Vascular, Santa Rosa, California, USA) and placed in the receptacle. Since the thrombi had become trapped when the aspiration catheter was inserted, the catheter had to be completely withdrawn in order to extract them. Several thrombi, the largest over 30 mm in length, were removed (Figure 2).

Figure 1.

Right coronary artery occluded by thrombi.

(0.08MB).
Figure 2.

Thrombi extracted after catheter aspiration.

(0.08MB).

Balloon angioplasty was successful, with no residual lesion and with final TIMI flow 3 (Figure 3).

Figure 3.

Right coronary artery after thrombus aspiration and balloon angioplasty.

(0.11MB).

During the patient's hospital stay, oral anticoagulation with warfarin was begun, for a target INR of 2.0–3.0. There were no complications and he was discharged on the fourth day, and was asymptomatic five months after the event.

Conflicts of interest

The author has no conflicts of interest to declare.

Moreira D, Delgado A, Marmelo B, et al. Enfarte trombótico com aspiração de grandes trombos. Rev Port Cardiol. 2013;32:835–836.

Copyright © 2013. Sociedade Portuguesa de Cardiologia
Download PDF
Idiomas
Revista Portuguesa de Cardiologia (English edition)
Article options
Tools
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

By checking that you are a health professional, you are stating that you are aware and accept that the Portuguese Journal of Cardiology (RPC) is the Data Controller that processes the personal information of users of its website, with its registered office at Campo Grande, n.º 28, 13.º, 1700-093 Lisbon, telephone 217 970 685 and 217 817 630, fax 217 931 095, and email revista@spc.pt. I declare for all purposes that the information provided herein is accurate and correct.