An Unusual Etiology for an Acute Coronary Syndrome

Case Report

Austin J Clin Cardiolog. 2014;1(3): 1021.

An Unusual Etiology for an Acute Coronary Syndrome

Claudiu Ungureanu1*, Christophe Laruelle1, Denis Pieters1, Eleonor Ponlot1, Philippe Blouard1, Patrick Timmermans1, Pierre-Yves Etienne2

1Departments of Cardiology, Cliniques Universities Saint- Luc, Belgium

2Department of Cardiovascular Surgery, Cliniques Universities Saint-Luc, Belgium

*Corresponding author: Ungureanu Claudiu, Department of Cardiology, University Hospital Saint Pierre Brussels, rue Haute, nr 322, 1000, Belgium

Received: April 28, 2014; Accepted: May 20, 2014; Published: May 22, 2014


Tirone david procedure; Heparin induced thrombocytopenia syndrome

Case Report

A 46–years–old man was admitted in our hospital for the treatment of an aneurysm of the ascending aorta and aortic root.

As planned, a valve sparing operation (Tirone David procedure) was performed. The intervention and the postoperative period were uneventful.

However the day before discharge the patient developed severe chest pain accompanied by diaphoresis and nausea. The ECG showed ST segment elevation of 2mm in the inferior leads.

The patient underwent urgent coronary angiography that revealed proximal occlusion of the right coronary artery by a large thrombotic mass (figure 1). This was managed by thromboaspiration and a subsequent stenting for an ostial residual thrombotic image (figure 2).