Multiple Plague Rupture in Setting of Acute Myocardial Infarction

Authors

  • Muhammad Hashim National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Muhammad Naeem Mengal National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Naveedullah Khan National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Syed Nadeem Hassan Rizvi National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.
  • Tahir Saghir National Institute of Cardiovascular Diseases (NICVD), Karachi-Pakistan.

Keywords:

ST-segment elevation myocardial infarction, STEMI, multiple plague rupture, management

Abstract

Background: ST-segment elevation myocardial infarction (STEMI) due to the simultaneous formation of thrombi in multiple arteries, known as multiple culprits, is an infrequent angiographic finding in clinical practice. Current guidelines for managing STEMI patients with multiple culprits are not very clear. However, various studies reported the beneficence of complete revascularization in such patients.

Case Presentation: We presented a series of five cases presented with STEMI with multiple culprits who underwent complete revascularization.

Management: The successful intervention of multiple culprits with closed contrast monitoring leads to a good outcome and a short hospital stay. Although, the optimal management strategy for the simultaneous multiple culprit lesions has yet to be established.

Conclusion: Acute myocardial infarction caused by simultaneous multi-vessel coronary occlusion is rarely reported. The successful intervention of multiple culprits with closed monitoring of the contrast leads to a good outcome and short hospital stay. Although, the optimal management strategy for the simultaneous multiple culprit lesions has yet to be established.

References

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Pollak PM, Parikh SV, Kizilgul M, Keeley EC. Multiple culprit arteries in patients with ST segment elevation myocardial infarction referred for primary percutaneous coronary intervention. Am J Cardiol. 2009; 104(5): 619-23.

Ifedili IA, Bob-Manuel T, Bolorunduro O, Askari R, Ibebuogu UN. Complete Revascularization of Simultaneous Multiple Culprit Lesions in a Septuagenarian with ST-Elevation Myocardial Infarction. Am J Case Rep. 2016; 17: 997.

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Published

01-12-2021

How to Cite

Hashim, M., Naeem Mengal, M., Khan, N., Hassan Rizvi, S. N., & Saghir, T. (2021). Multiple Plague Rupture in Setting of Acute Myocardial Infarction. Pakistan Journal of Cardiovascular Interventions, 1(1), 13–23. Retrieved from https://www.pjcvi.com/index.php/home/article/view/14