Intravascular ultrasound and angiographic demonstration of left main stem thrombus—high-risk presentation in a young adult with anabolic steroid abuse

Garg, Pankaj ORCID: https://orcid.org/0000-0002-5483-169X, Davis, Gershan, Wilson, John Ian and Sivananthan, Mohan (2010) Intravascular ultrasound and angiographic demonstration of left main stem thrombus—high-risk presentation in a young adult with anabolic steroid abuse. American Heart Hospital Journal, 8 (2). ISSN 1751-7168

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Abstract

We present a case of acute myocardial infarction in a young adult with a history of anabolic steroid abuse. On diagnostic coronary angiography and intravascular ultrasound, he was found to have a distal left main stem thrombus extending into the proximal left anterior descending artery and a large intermediate vessel. As he was hemodynamically stable and pain-free, he was managed conservatively with triple antiplatelet therapy (aspirin, clopidogrel, and abciximab). This was also to avoid the risk of ‘wiring the vessel,’ especially if there was underlying dissection. Repeat angiography a few weeks later showed complete thrombus resolution. This is the first reported case of extensive left main stem thrombus in a young patient with anabolic steroid abuse. Management of such cases is not straightforward and our case highlights one approach to both diagnosis and treatment.

Item Type:	Article
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Centres > Metabolic Health
Related URLs:	https://www.radcliffecardiology.com/arti...
Depositing User:	LivePure Connector
Date Deposited:	21 Dec 2021 14:30
Last Modified:	19 Oct 2023 03:13
URI:	https://ueaeprints.uea.ac.uk/id/eprint/82777
DOI:	10.15420/ahhj.2010.8.2.125

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