Other
SPONTANEOUS RECANALIZED CORONARY THROMBUS AS AN UNEXPECTED FINDING ON CORONARY ANGIOGRAPHY
MILENKO ČANKOVIĆ
; Institute of Cardiovascular Diseases of Vojvodina, Department of Cardiology, Sremska Kamenica, Serbia; University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
VANJA DRLJEVIĆ TODIĆ
; Institute of Cardiovascular Diseases of Vojvodina, Department of Cardiology, Sremska Kamenica, Serbia
TEODORA PANTIĆ
; Institute of Cardiovascular Diseases of Vojvodina, Department of Cardiology, Sremska Kamenica, Serbia
MILA KOVAČEVIĆ
; Institute of Cardiovascular Diseases of Vojvodina, Department of Cardiology, Sremska Kamenica, Serbia; University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
VLADIMIR IVANOVIĆ
; Institute of Cardiovascular Diseases of Vojvodina, Department of Cardiology, Sremska Kamenica, Serbia; University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
MILOVAN PETROVIĆ
; Institute of Cardiovascular Diseases of Vojvodina, Department of Cardiology, Sremska Kamenica, Serbia; University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Abstract
Introduction: Spontaneous recanalized coronary thrombi (SRCT) are a rare condition characterized by multiple channels
divided by thin septa, communicating with each other, proximally and distally, with the normal coronary lumen. Highresolution intracoronary imaging techniques such as intravascular ultrasound or optical coherence tomography (OCT)
enable routine study of the coronary artery lumen and wall. Case report: A 73-year-old male presented to the intensive
care unit due to the loss of consciousness and transient extreme bradycardia recorded on electrocardiogram. Coronary
angiogram revealed contrast defect on the right coronary artery (RCA). For better assessment of the angiographic fi nding,
OCT was performed and confi rmed a honeycomb-like structure starting from medial RCA and propagating up to the distal
part. As a result of the data acquired, the diagnosis of SRCT in the RCA was established. It was decided not to treat the
RCA with stent implantation, and it was proceeded with optimal medicament therapy and pacemaker implantation. At
three-month follow up, the patient reported no subjective symptoms and SPECT showed no signs of ischemia. Conclusion:
While there are no appropriate recommendations for the treatment of SRCT yet, decision on treatment is based on imaging
techniques fi ndings and physician’s experience. Adequate follow up of these patients can provide important data needed
for future guiding of the SRCT treatment.
Keywords
honeycomb-like structure; thrombus recanalization; interventional cardiology; intravascular imaging; optical coherence tomography; coronary artery disease
Hrčak ID:
256998
URI
Publication date:
28.4.2021.
Visits: 1.016 *