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Heart 98:1259-1260 doi:10.1136/heartjnl-2012-302059
  • Images in cardiology

Contemporary clot busting in ST-elevation myocardial infarction: beware of the embolus

  1. Peter O'Kane
  1. Department of Cardiology, Royal Bournemouth Hospital, Bournemouth, UK
  1. Correspondence to Dr Peter O'Kane, Department of Cardiology, Royal Bournemouth Hospital, Castle Lane East, Bournemouth, Dorest BH7 7DW, UK; peter.o'kane{at}rbch.nhs.uk

  1. Contributors All authors contributed to the preparation and submission of this manuscript. The patient detailed in the case was identified and managed by PO.

  • Received 18 March 2012
  • Accepted 11 April 2012
  • Published Online First 23 May 2012

Case

A 65-year-old man presented with an acute inferior ST-elevation myocardial infarction (STEMI) 2 h after the onset of pain. After pre-treatment with aspirin, prasugrel and bivalirudin (bolus and infusion), the patient underwent percutaneous coronary intervention (PCI). The right coronary artery (RCA) was occluded proximally (figure 1A) and it was re-cannulised with the …

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