Pulmonary embolism with comorbid acute myocardial infarction: a clinical case
https://doi.org/10.20538/1682-0363-2021-2-228-232
Abstract
The article presents a case of pulmonary embolism with comorbid acute inferior myocardial infarction in the 54-year-old patient who was admitted to the Regional Center for Percutaneous Coronary Interventions. Coronary angiography revealed a multivessel lesion with angiographic signs of instability in the proximal third of the right coronary artery. Pulmonary angiography revealed signs of pulmonary embolism with moderate impairment of pulmonary perfusion.
The described combination is challenging in terms of both diagnosis and subsequent treatment strategy. A feature of this case is the use of a double surgery, consisting of revascularization of the infarct-related artery and fragmentation of thrombotic masses in the pulmonary artery, in combination with thrombolytic therapy.
About the Authors
E. A. Zakharyan
Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University
Russian Federation
Russian Federation
5/7, Lenina Av., Simferopol, Republic of Crimea, 295051, Russian Federation
P. E. Grigoriev
Sevastopol State University;
Academic Research Institute of Physical Treatment Methods, Medical Climatology and Rehabilitation named after I.M. Sechenov
Russian Federation
Russian Federation
33, Universitetskaya Str., Sevastopol, Republic of Crimea, 299053, Russian Federation
10, Mukhina Str., Yalta, Republic of Crimea, 298603, Russian Federation
D. V. Shatov
Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University
Russian Federation
Russian Federation
5/7, Lenina Av., Simferopol, Republic of Crimea, 295051, Russian Federation
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Review
For citations:
Zakharyan E.A., Grigoriev P.E., Shatov D.V. Pulmonary embolism with comorbid acute myocardial infarction: a clinical case. Bulletin of Siberian Medicine. 2021;20(2):228-232. https://doi.org/10.20538/1682-0363-2021-2-228-232
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