Worm-like thrombus in left main coronary artery after cytostatic treatment

Abstract

This paper reports a 43-year-old patient who had a large, mobile, worm-like thrombus in the left main coronary artery after receiving a chemotherapy regimen containing cisplatin, bleomycin and etoposide for a nonseminomatous testes tumor. The patient was successfully treated with thrombolytic therapy. Physicians should be aware that thrombotic events may be observed after the administration of certain chemotherapeutic agents, particularly cisplatin.

A Mysterious Case of ST-Elevation Myocardial Infarction; an Old Man with Weight Loss and Dyspepsia

“…Although we commonly expect venous thrombosis in the setting of malignancies, an arterial thrombosis revealed the first manifestation of hypercoagulable state of the underlying cancer [3]. Management of left main thrombosis is often controversial including conservative approach with antiplatelet drugs, mechanical aspiration thrombectomy, stenting, intracoronary or systemic thrombolytic delivery or urgent CABG [1,2,8]. This case underscores the importance of malignancies that may lead to a catastrophic STEMI due to a hypercoagulable state and following thrombosis in the left main coronary artery.…”

A mobile thrombus in the left main coronary artery which caused acute myocardial infarction

“…Occlusion of the left main coronary artery (LMCA) with thrombus is rare but it's very mortal case. 1,2 Choice of treatment options depend on the clinical presentation of the patient and result of angiographic examination. Total occlusion of the LMCA with thrombus can be treated with percutaneus coronary intervention under intraaortic balon pump back up.…”

“…3 Subtotal thrombotic occlusion of the LMCA can be successfully treated with coronary artery bypass graft (CABG) operation or thrombolytic treatment. [1][2] We present a 54-year old man referred to our hospital with acute anterior myocardial infarction. The coronary angiogram performed with guiding…”