An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only

Authors

Omkar Betageri, Cardiology, Maine Medical Center - Tufts University, Portland, USA.
Hassan Ashraf, Cardiology, University of Texas at Houston, Houston, USA.
Adam Hafeez, Cardiology, University of Florida College of Medicine, Gainesville, USA.
Richard Kerensky, Cardiology, University of Florida College of Medicine, Gainesville, USA.
Thomas S. Huber, Vascular Surgery, University of Florida College of Medicine, Gainesville, USA.
Michael Massoomi, Cardiology, University of Florida College of Medicine, Gainesville, USA.

Document Type

Article

Publication Date

5-28-2023

Institution/Department

Cardiology

Journal Title

Cureus

Abstract

We present a unique case of a type I peri-operative myocardial infarction during an extensive abdominal aortic aneurysm repair occurring due to the occlusion of a severe stable ostial plaque stenosis by a small overlying thrombus. During coronary angiography, the thrombus was dislodged by the diagnostic catheter which restored normal flow without stent placement. We demonstrate a care approach that was carefully arrived upon through multidisciplinary management with vascular surgery and anesthesiology colleagues.

ISSN

2168-8184

Comments

Omkar Betageri- Fellow

First Page

e39610

Recommended Citation

Betageri O, Ashraf H, Hafeez A, Kerensky R, Huber TS, Massoomi M. An Unusual Cause of Coronary Occlusion During an Abdominal Aortic Aneurysm Repair: Reperfusion With Diagnostic Angiography Only. Cureus. 2023;15(5):e39610. Published 2023 May 28. doi:10.7759/cureus.39610