Treatment of the left and the right coronary arteriesÂ’ ostial lesions by stenting in a patient with immune thrombocytopenic purpura
Selda Morrad; Bektas Morrad
DOI: 10.5455/medscience.2018.07.8896 · Page: 445-8 · 49 Views · 0 Downloads · 0 Citations
Abstract
Abstract
Immune thrombocytopenic purpura is an autoimmune disease which is characterized with a decrease in number of platelets in blood. Gathering ITP and coronary artery disease are a rare situation. These patients are treated with percutaneous, surgery or medical therapy. Our patient is 61 years old female who resting angina pectoris (Canada classification class 4). She has immun trombocytopenic purpura for 5 years. Her hematological investigation showed thrombocyte counts 40×10^9/L. We performed coronary angiography after hematology counsultation. Coronary angiography showed left main coronary artery ostial 99% stenosis, right coronary artery ostial 90% stenosis. At the same section, we implanted bare metal stent 4.0×12 mm for right coronary artery and 4.5×15 mm for left main coronary artey ostial lesions, respectly. Angina of the patient disaapeared and she was discharged next day. There was no any problems at 6th month outpatient control.
Key words: Immune thrombocytopenic purpura;coronary artery disease;percutaneous coronary intervention
Keywords : Immune thrombocytopenic purpura; coronary artery disease; percutaneous coronary intervention