open access

Vol 69, No 7 (2011)
Angiogram miesiąca
Published online: 2011-07-18
Submitted: 2012-12-28
Get Citation

Repeated percutaneous coronary intervention due to repeated acute coronary syndrome caused by different coronary arteries

Mateusz Orzałkiewicz, Agnieszka Błażejewska, Zbigniew Orzałkiewicz, Katarzyna Kałka
Kardiol Pol 2011;69(7):728-732.

open access

Vol 69, No 7 (2011)
Angiogram miesiąca
Published online: 2011-07-18
Submitted: 2012-12-28

Abstract

We are presenting the case of a 74 year-old female who was hospitalised twice within 6 months with acute coronary syndrome (ACS) and on both occasions was treated with coronary stenting. Both ACS were caused by an angiographically single vessel disease which occurred in different arteries (1st — left anterior descending and 2nd — right coronary artery). The case exemplifies that vulnerability persists despite pharmaco-mechanical management and that ACS after stenting can be due not only to an ‘in-stent event’ (thrombosis or restenosis) which is suspected at first but also due to stenosis occurring in any artery of coronary tree — anatomically unrelated to the initial event. Many efforts are made to identify vulnerable plaques and patients, unfortunately to date without success in everyday practice. A close follow-up after ACS is therefore mandatory.
Kardiol Pol 2011; 69, 7: 728–732

Abstract

We are presenting the case of a 74 year-old female who was hospitalised twice within 6 months with acute coronary syndrome (ACS) and on both occasions was treated with coronary stenting. Both ACS were caused by an angiographically single vessel disease which occurred in different arteries (1st — left anterior descending and 2nd — right coronary artery). The case exemplifies that vulnerability persists despite pharmaco-mechanical management and that ACS after stenting can be due not only to an ‘in-stent event’ (thrombosis or restenosis) which is suspected at first but also due to stenosis occurring in any artery of coronary tree — anatomically unrelated to the initial event. Many efforts are made to identify vulnerable plaques and patients, unfortunately to date without success in everyday practice. A close follow-up after ACS is therefore mandatory.
Kardiol Pol 2011; 69, 7: 728–732
Get Citation

Keywords

ACS; vulnerable patient; vulnerable plaque; follow-up after PCI in ACS

About this article
Title

Repeated percutaneous coronary intervention due to repeated acute coronary syndrome caused by different coronary arteries

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 69, No 7 (2011)

Pages

728-732

Published online

2011-07-18

Bibliographic record

Kardiol Pol 2011;69(7):728-732.

Keywords

ACS
vulnerable patient
vulnerable plaque
follow-up after PCI in ACS

Authors

Mateusz Orzałkiewicz
Agnieszka Błażejewska
Zbigniew Orzałkiewicz
Katarzyna Kałka

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