The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

How should I treat?

How should I treat a mural perforation due to acute stent fracture in a calcified proximal LAD?

EuroIntervention 2012;7:1350-1360. DOI: 10.4244/EIJV7I11A212

National Heart Centre, Singapore, Singapore

Background: A 42-year-old diabetic male suffered an uncomplicated non-ST elevation myocardial infarction and was referred for urgent coronary angiography.

Investigation: Physical examination, laboratory investigations, ECG, transthoracic echocardiogram and coronary angiography.

Diagnosis: Triple vessel disease with moderately impaired left ventricular function.

Treatment: Coronary angiography, antiplatelet and antithrombotic therapy, percutaneous intervention (PCI), intravascular ultrasound (IVUS), beta blockers, statin and angiotensin- converting enzyme inhibitor (ACEI).

Keywords: myocardial infarction, percutaneous intervention, stent fracture, mural thrombus, coronary perforation.

Presentation of the case

A 42-year-old male with diabetes and a strong family history of ischaemic heart disease ...

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