Key result
Diagnostic catheter manipulation dislodges thrombus to restore coronary flow without stenting in peri-operative MI.
Case Report (n=1)
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Diagnostic coronary angiography alone can sometimes restore flow in peri-operative MI caused by small thrombi overlying stable plaque, avoiding the need for stenting.
We present a unique case of a type I peri-operative myocardial infarction during an extensive abdominal aortic aneurysm repair occurring due to the occlusion of a severe stable ostial plaque stenosis by a small overlying thrombus. During coronary angiography, the thrombus was dislodged by the diagnostic catheter which restored normal flow without stent placement. We demonstrate a care approach that was carefully arrived upon through multidisciplinary management with vascular surgery and anesthesiology colleagues.
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Betageri et al. (2023) conducted a case report in Peri-operative myocardial infarction during abdominal aortic aneurysm repair (n=1). Diagnostic coronary angiography was evaluated on Restoration of coronary flow. Diagnostic catheter manipulation successfully dislodged a thrombus and restored normal coronary flow without stent placement in a patient experiencing a peri-operative myocardial infarction.
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