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

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Presentation on theme: "Therapeutic dilemma – Acute coronary syndrome in the presence of severe mitral stenosis  Shanmuga Sundaram Radhakrishnan, Murali Alagesan, Tamilarasu."— Presentation transcript:

1 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 (June 2014) DOI: /j.jicc Copyright © 2014 Indian College of Cardiology Terms and Conditions

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

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

4 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, DOI: ( /j.jicc ) Copyright © 2014 Indian College of Cardiology Terms and Conditions

5 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, DOI: ( /j.jicc ) Copyright © 2014 Indian College of Cardiology Terms and Conditions


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