Primary Percutaneous Coronary Intervention by a Stentless Technique for Acute Myocardial Infarction with Idiopathic Thrombocytopenic Purpura: A Case Report and Review of the Literature

Susumu Fujino; Satoru Niwa; Kensuke Fujioka; Tomohito Mabuchi; Yoshihiro Noji; Masato Yamaguchi; Takahiko Aoyama

doi:10.2169/internalmedicine.55.4544

CASE REPORTS

Primary Percutaneous Coronary Intervention by a Stentless Technique for Acute Myocardial Infarction with Idiopathic Thrombocytopenic Purpura: A Case Report and Review of the Literature

Susumu Fujino, Satoru Niwa, Kensuke Fujioka, Tomohito Mabuchi, Yoshihiro Noji, Masato Yamaguchi, Takahiko Aoyama

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Keywords: myocardial infarction, idiopathic thrombocytopenic purpura, percutaneous coronary intervention, coagulation disorder, Lacrosse non slip element balloon, a balloon catheter with 3 nylon elements

JOURNAL OPEN ACCESS

2016 Volume 55 Issue 2 Pages 147-152

DOI https://doi.org/10.2169/internalmedicine.55.4544

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Abstract

A 78-year-old man who had been diagnosed with idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with chest pain, cold sweating and nausea. An electrocardiogram and echocardiogram revealed an ST elevated acute lateral myocardial infarction. He underwent an immediate cardiac catheterization. An occluded left circumflex artery was detected by coronary angiography. Reperfusion was performed successfully by non-slip element balloon angioplasty alone, without stenting, to avoid prolonged dual anti-platelet therapy. In this report we discussed the management strategies of acute myocardial infarction in a patient with concomitant ITP.

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