Natale Daniele Brunetti*, MD, PhD; Antonio Centola, MD; Erasmo Giulio Campanale, MD; Andrea Cuculo, MD; Antonio Ruggiero, MD; Luigi Ziccardi, MD; Luisa De Gennaro, MD, PhD; Matteo Di Biase, MD
Cardiology Department, University of Foggia, Foggia, Italy
BACKGROUND: A 72-year-old woman with non-ST elevation acute coronary syndrome, treated with fondaparinux.
INVESTIGATION: The patient was treated after recurrent angina with coronary angioplasty and stenting of the left anterior descending artery (LAD). The procedure was complicated by “swinging” left main (LM) thrombosis.
diagnosis: Catheter-related LM thrombosis after fondaparinux administration.
TREATMENT: Urgent LM angioplasty with culotte stenting of LM, LAD, and left circumflex coronary artery (LCx), and thrombus aspiration.
KEYWORDS: Fondaparinux, coronary angioplasty, drug-eluting stent, left main coronary occlusion, catheter-related coronary thrombosis.