Abstract
IntroductionTreatment of the rare cases of patients with chronic idiopathic thrombocytopenic purpura with acute coronary syndrome can be a significant problem. The patient in our case report was treated successfully with percutaneous coronary intervention.Case presentationA 51-year-old man of Turkish origin who had idiopathic thrombocytopenic purpura was admitted to our hospital with severe chest pain. His electrocardiography was normal on admission but dynamic ischemic changes were observed during follow-up. He underwent immediate coronary angiography. In his angiography, left anterior descending artery stenosis was 90% together with the diagonal ostium. Percutaneous coronary intervention was performed successfully. Bleeding complications were not observed after the procedure.ConclusionsWe report the presence of a rare case of chronic idiopathic thrombocytopenic purpura in a patient with acute coronary syndrome. In this situation a serious multidisciplinary approach is required before coronary intervention.
Highlights
Treatment of the rare cases of patients with chronic idiopathic thrombocytopenic purpura with acute coronary syndrome can be a significant problem
We report the presence of a rare case of chronic idiopathic thrombocytopenic purpura in a patient with acute coronary syndrome
* Correspondence: drdemircelik@yahoo.com 1Department of Cardiology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey Full list of author information is available at the end of the article these patients is rare [3,4]. In this case report we describe a patient who underwent primary percutaneous coronary intervention (PCI) with chronic Immune thrombocytopenic purpura (ITP) and acute myocardial infarction (AMI) without bleeding complications
Summary
Patients with history of ITP or patients with a low platelet count presenting with ACS usually require a tailored medical and interventional management. Patients presenting with low platelets (
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