BACKGROUND: A 49-year-old female was referred to our cathlab for an extensive anterior STEMI complicated by cardiogenic shock.
INVESTIGATION: Coronary angiography.
DIAGNOSIS: Left coronary angiography revealed occlusion of the left main stem with evidence of massive intracoronary thrombus.
MANAGEMENT: Manual thrombectomy followed by super-selective adenosine injection by thrombus aspiration catheter combined with an intracoronary bolus of abciximab was performed. A drug-eluting stent was implanted in the left main and proximal left descending artery.
KEYWORDS: cardiogenic shock, crushed ticagrelor, hyperhomocysteinaemia, intra-aortic balloon pumping, STEMI
PRESENTATION OF THE CASE
A previously healthy 49...
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