- 期刊
Primary Angioplasty with AngioJet Thrombectomy in a Patient with a Single Coronary Ostium and Acute ST Elevation Myocardial Infarction: Technical Considerations
並列摘要
A solitary coronary ostium in the aorta, without other major congenital cardiovascular anomalies, is very rare, and can be clinically and technically challenging when myocardial infarction occurs. This report documents a 51-year-old man with an anomaly of three coronary arteries arising from a solitary coronary ostium in the right sinus of Valsalva who underwent primary percutaneous coronary intervention for acute inferior wall ST segment elevation myocardial infarction. Our case demonstrate that when coronary arterial ostia are difficult to identify, an aortogram should be performed as early as possible to delineate the locations of coronary arterial ostia. A2.0-cm left Amplatz guiding catheter and extrasupport wire were used to obtain optimal support. AngioJet thrombectomy and cutting balloon angioplasty were then successfully performed in this case.
延伸閱讀
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