Tangled skein
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A 47-year-old male patient, with a history of hypertension, complained of dyspnea.Chest x-ray showed bilateral pneumonia, echo showed 32% LVEF with anterolateral ipokinesis. ECG normal, troponin level elevated.
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A 47-year-old male patient, with a history of hypertension, complained of dyspnea.
Authors
Agnello Federica1, Mauro Maria Sara1, Calderone Dario1, Scalia Lorenzo1, Legnazzi Marco1, Capodanno Davide1- A.O.U. Policlinico Gaspare Rodolico - San Marco, division of Cardiology, Catania, ITALY
3 comments
Amazing , thanks for sharing. As WCA has led to acute ischaemia in this case ( demonstrated by raised troponin and SWMA), what was your definite treatment strategy other than OMT. I dont think there is any room of percutaneous revasc. At the same time , LAD looks spared angiographically but their is drop in EF with anterlateral ischaemia.. I am interested to know if you considered going down surgical route or resorted to medical treatment alone ..
Recanalized thrombus of RCA, LCx. Post Balloon dilatation, perform the OCT to demonstrate honey-coomb appearance
scusate ma io a 53 anni devo venire a conoscenza di questa bizzarra malattia?