Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response

Multiple and Contemporary Coronary Thrombosis inspite of Low Platelet Function Response

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We are reporting a clinical case of a 78-year-old male who had oppressive chest pain at rest, which regressed with the intake of sublingual nitrates.Coronary angiography showed a Frypans chronic total occlusion (CTO) of the left anterior descending (LAD) artery, a normal circumflex, a hypoplasic right coronary artery and a Cardiac Magnetic Resonance showing vital tissue Heartrate Kit in anterior wall.During the procedure of CTO-PCI on LAD, patient developed multiple and contemporary coronary thrombosis in spite of low platelet reactivity, which was assessed by using Multiplate.

A manual thrombectomy was performed with a good final result only after drug eluting stents (DES) implantation.