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SPONTANEOUS RECANALIZED CORONARY THROMBUS AS AN UNEXPECTED FINDING ON CORONARY ANGIOGRAPHY

MILENKO ČANKOVIĆ ; Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, SremskaKamenica, Srbija; Univerzitet u Novom Sadu, Medicinski fakultet, Novi Sad, Srbija
VANJA DRLJEVIĆ TODIĆ ; Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, SremskaKamenica, Srbija
TEODORA PANTIĆ ; Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, SremskaKamenica, Srbija
MILA KOVAČEVIĆ ; Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, SremskaKamenica, Srbija; Univerzitet u Novom Sadu, Medicinski fakultet, Novi Sad, Srbija
VLADIMIR IVANOVIĆ ; Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, SremskaKamenica, Srbija; Univerzitet u Novom Sadu, Medicinski fakultet, Novi Sad, Srbija
MILOVAN PETROVIĆ ; Institut za kardiovaskularne bolesti Vojvodine, Klinika za kardiologiju, SremskaKamenica, Srbija; Univerzitet u Novom Sadu, Medicinski fakultet, Novi Sad, Srbija

Sažetak

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.

Ključne riječi

honeycomb-like structure; thrombus recanalization; interventional cardiology; intravascular imaging; optical coherence tomography; coronary artery disease

Hrčak ID:

256998

URI

https://hrcak.srce.hr/256998

Datum izdavanja:

28.4.2021.

Podaci na drugim jezicima: hrvatski

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