Left main crossover stenting in a patient with severe thrombocytopenia due to aplastic anemia | Aplastic Anemia and MDS International Foundation

Left main crossover stenting in a patient with severe thrombocytopenia due to aplastic anemia

Journal Title: 
Cardiovasc Interv Ther
Primary Author: 
Nishikawa M
Author(s): 
Nishikawa M, Shiraishi J, Ohshiro M, Yashige M, Hyogo M, Sawada T
Original Publication Date: 
Thursday, November 24, 2016

A 76-year-old man with aplastic anemia presented with recurrent acute myocardial infarction (AMI) with heart failure. After the initial appearance of AMI approximately 2 months earlier, he had received conservative treatment/transfusion alone because of severe thrombocytopenia and anemia (platelet 11 × 103/μL, hemoglobin 6.4 g/dL). Refractory heart failure persisted despite repeated conservative treatment/transfusion for the second AMI, and therefore, we performed transradial coronary angiography and left main crossover stenting with a bare metal stent. His critical condition markedly improved; however, soon after discharge, he complicated with subdural hematoma. He has since been free of cardiovascular/hemorrhagic events for 7 months without antiplatelet/anticoagulant therapy.

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