Doenças Cardiovasculares e Diagnóstico

Rescue Thrombolysis Followed By Salvage Percutaneous Coronary Intervention for the Treatment of Inferior St Elevation Myocardial Infarction Combined With Cardiogenic Shock in a Patient with an Anomalous Right Coronary Artery origin

Abstract

Ji-Hyuck Rhee and Sung Woo Kwon

We report a case of rescue thrombolysis followed by salvage percutaneous coronary intervention (PCI) for the treatment of inferior ST elevation myocardial infarction (STEMI) combined with cardiogenic shock in a patient with an anomalous right coronary artery (RCA) origin. When it is not feasible to perform primary PCI due to the anomalous origin of theRCA, rescue thrombolysis can be an optional treatment strategy that may allow sufficient time to perform facilitated PCI in a STEMI patient with hemodynamic instability.