Case presentation
- Weight: 100 kg
- Height: 185 cm
- BMI: 29
- hyperomocysteinemia
- reduced glucose tolerance
- history of Hodgkin Lymphoma treated with chemotherapy and radiotherapy
- thoracic outlet syndrome
- pectus excavatum
- ulcerative colitis
- allergic asthma
- Hb: 14.6 g/dl
- Creatinine: 1.08 mg/dl
- eGFR: 118 ml/min
- LDL 145 mg/dl
- Lp(a) 8 mg/dl
- PLT 386. 000/ul
- hsTnI 863,6 pg/ml
- Mesalazine 1200 mg twice daily
- STEMI - Inferior
- Improvement of symptoms after optimized medical therapy (IV nitrates and beta-blockers).
- Development of fever; blood cultures positive for Staphylococcus epidermidis, targeted IV antibiotic therapy initiated.
35 years old, male
Cardiovascular Risk Factors:
Medical History:
Lab Test
Admission Medical Therapy
ECG
Transthoracic Echocardiogram
Moderately dilated left ventricle with infero-posterior and basal infero-septal akinesia.
LVEF estimated at 35-40%
Moderate to severe functional mitral regurgitation.
Coronary Angiography
Acute thrombotic total occlusion of the mid right coronary artery.
Chronic total occlusion of mid left anterior descending and proximal left circumflex.
Primary PCI of Right Coronary Artery
Primary PCI and direct implantation of two overlapping DES (Onyx Frontier 2.5 x 30 mm and Onyx Frontier 3.0 x 12 mm).
Baseline
Post-stenting
Clinical Course and Heart Team Discussion
Coronary Care Unit stay
Declaration of interest
None
Disclaimer
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