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A case report of full revascularization of acute st elevation myocardial infarction patient found to have 2 culprit lesions in 2 different vessels

Author: 
Dawood Alkhalaileh, MD, Hassan Elqaderi, MD, Yazan Bani Hamad, MD, Tareq Alqudah, MD and Ali Alrousan, MD
Subject Area: 
Health Sciences
Abstract: 

ST-elevation myocardial infarction is commonly caused by intracoronary plaque rupture with thrombus formation and acute vessel closure in single coronary artery that is labelled as the culprit. The simultaneous thrombotic occlusions of more than one coronary artery in the setting of STEMI is a rare entity, which is not fully addressed in the current STEMI guidelines, although more recent studies suggest a benefit of complete revascularization compared to culprit vessel-only treatment in the setting of STEMI. In this report we presented a case of STEMI with 2 culprit vessels.

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