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  • ISSN 1674-8301
  • CN 32-1810/R
Volume 28 Issue 2
Feb.  2014
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Jianjin Tang, Zemu Wang, Dingguo Zhang, Liansheng Wang. Rapid progression of nonculprit coronary lesions six weeks after successful primary PCI in culprit artery: a case report[J]. The Journal of Biomedical Research, 2014, 28(2): 146-150. DOI: 10.7555/JBR.28.20130155
Citation: Jianjin Tang, Zemu Wang, Dingguo Zhang, Liansheng Wang. Rapid progression of nonculprit coronary lesions six weeks after successful primary PCI in culprit artery: a case report[J]. The Journal of Biomedical Research, 2014, 28(2): 146-150. DOI: 10.7555/JBR.28.20130155
shu

Rapid progression of nonculprit coronary lesions six weeks after successful primary PCI in culprit artery: a case report

  • 1.

    Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China

  • 2.

    Division of Cardiology, The Affiliated Jiangyin Hospital of Southeast University Medical College, Wuxi, Jiangsu 214400, China

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This work was supported by a grant from the National Natural Science Foundation of China (No.81270255).

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  • Received Date: October 06, 2013
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    • Abstract
  • We report a case of a 49-year-old man who was admitted with a 3-hour history of sudden onset of substernal chest pain. Coronary angiography revealed that the left circumflex artery (LCX) was acutely and totally occluded at the mid-portion. In addition, the proximal and mid-portion of the right coronary artery (RCA) had a 60% occlusion. We inferred that the LCX was the culprit artery and primary PCI was successfully performed. Six weeks later, the patient had an eventful course with recurrence of chest pain. Coronary angiography showed no significant stenosis in the previous LCX lesion, while the proximal and middle potion of the RCA had a 90% occlusion. Our case demonstrates the systemic nature of acute coronary syndromes and highlights the inherent instability of coronary artery disease.
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