Acute Simultaneous Thrombotic Occlusion of Multiple Coronary Arteries in Acute Myocardial Infarction: A Case Report

Abstract

Introduction: Simultaneous multiple coronary artery thrombosis is a rare finding in ST segment elevation myocardial infarction (STEMI), and has a high mortality rate. Case Presentation: We report a case of myocardial infarction with cardiogenic shock, left bundle branch block, and multiple ST segment elevation on the electrocardiogram and thrombotic occlusion of the left circumflex, optus marginal, and left anterior descending arteries on emergency coronary angiography. Thrombus aspiration was performed at left circumflex, optus marginal, and left anterior descending arteries. Conclusions: In patients with STEMI, multiple coronary thrombosis is unusual and associated with high patient mortality. Keywords: Simultaneous Coronary Thrombosis, Acute Myocardial Infarction, Multiple Thrombosis, Acute ST Elevation Myocardial Infarction and Cardiogenic Shock