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Native valve infective endocarditis (IE) is rare, with an incidence of 3–7 cases per 100,000 person-years.1,2 Cardiac structural complications from local infection extension include valvular destruction, peri-annular abscess and fistula formation. Left ventricular pseudoaneurysm (LVP) from IE is exceedingly rare, occurring in <1% of cases, and is associated with high morbidity and mortality. Diagnosis is challenging due to nonspecific symptoms […]

AngioJet thrombectomy for the treatment of coronary artery aneurysm after failed thrombolysis in acute myocardial infarction

Claudio Giombolini, Salvatore Notaristefano, Stefano Santucci, Francesco Notaristefano, Antonio Notaristefano, Giuseppe Ambrosio
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Published Online: Jul 26th 2018 Heart International 2006;2(2):94-7
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Abstract

Overview

Acute myocardial infarction (AMI) is caused by thrombus formation over a disrupted
plaque occluding an epicardial coronary artery. Mechanical thrombectomy is effective in removing
thrombus burden from native vessels and saphenous vein grafts. Here we report a case
of an aneurysmatic dilatation of an infarct-related artery (IRA) referred to our Institute for rescue
PCI, after failed fibrinolysis, successfully treated with only rheolytic thrombectomy (AngioJet,
Possis Medical, Minneapolis, Minnesota, USA) without the need for adjunctive balloon or stent
implantation. (Heart International 2006; 2: 94-7)

Keywords

Thrombectomy, Coronary aneurysm, Acute myocardial infarction, PCI rescue

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Article Information

Correspondence

Claudio Giombolini, MD, Interventional Cardiology, “Silvestrini” Hospital, Via Sant’Andrea delle Fratte, 06156 Perugia – Italy, lab.emodinamica@ospedale.perugia.it

Acknowledgements

Appreciation is expressed to Mr Maurizio Proietti and Mr
Paolo Tiradosso for nursing assistance.

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