Therapeutic dilemma – Acute coronary syndrome in the presence of severe mitral stenosis Shanmuga Sundaram Radhakrishnan, Murali Alagesan, Tamilarasu.

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Presentation transcript:

Therapeutic dilemma – Acute coronary syndrome in the presence of severe mitral stenosis Shanmuga Sundaram Radhakrishnan, Murali Alagesan, Tamilarasu Kaliappan, Rajendiran Gopalan Journal of Indian College of Cardiology Volume 4, Issue 2, Pages 128-131 (June 2014) DOI: 10.1016/j.jicc.2014.02.008 Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 1 Left coronary angiogram showing normal Left anterior descending and circumflex arteries. Journal of Indian College of Cardiology 2014 4, 128-131DOI: (10.1016/j.jicc.2014.02.008) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 2 Right coronary angiogram shows totally occluded right coronary artery. Journal of Indian College of Cardiology 2014 4, 128-131DOI: (10.1016/j.jicc.2014.02.008) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 3 Right coronary angiogram after thrombosuction shows the distal embolism in to the Posterior descending artery and Posterior Left ventricular branch (upward facing arrows). Journal of Indian College of Cardiology 2014 4, 128-131DOI: (10.1016/j.jicc.2014.02.008) Copyright © 2014 Indian College of Cardiology Terms and Conditions

Fig. 4 Thrombotic material retrieved from the RCA. Thrombus indicated by arrow mark was retrieved from the guide catheter. Journal of Indian College of Cardiology 2014 4, 128-131DOI: (10.1016/j.jicc.2014.02.008) Copyright © 2014 Indian College of Cardiology Terms and Conditions