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Interventional Cardiovascular Rounds

Coordinator: Dr. Hugo Londero
Moderator: Dr. Raúl Bretal

Case number 3: Thrombus Containing Lesion in Unstable Angina

Presented by Dr. Oscar Mendiz

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The patient is a 53 years old male with coronary risk factors: Arterial Hypertension, Hypercholesterolemia, previous smoker and family history of coronary artery disease.

He started with functional class II recent onset angina during the last month, and progressed to functional class IV in the last week with rest chest pain episodes despite of a full medical therapy in the coronary care unit.

A coronary angiography was performed and showed a well preserved left ventricular function (Figure N°1) RCA without significant disease (Figure N°2) and a severe obstruction in a bifurcation of the obtuse marginal branch of the Circumflex with a filling defect suggestive of thrombus (Figure N°3)

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Fig. 1


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Fig. 2


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Fig. 3

We have asked their opinion to two well known interventional Cardiologists Ramón Quesada, MD, FACC, FSCAI, FCCP Medical Director, Interventional Cardiology, Miami Cardiovascular Institute, and Jorge Belardi, MD, FACC Director, Division of Cardiology, Instituto Cardiovascular de Buenos Aires

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