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Published in: Journal of Medical Case Reports 1/2014

Open Access 01-12-2014 | Case report

Coronary intervention for acute coronary syndrome in a 51-year-old man with immune thrombocytopenic purpura: a case report

Authors: Bora Demircelik, Meltem Altinsoy, Fadime Bozduman, Mahmut Gunes, Muzaffer Cakmak, Beyhan Eryonucu

Published in: Journal of Medical Case Reports | Issue 1/2014

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Abstract

Introduction

Treatment 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 presentation

A 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.

Conclusions

We 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.
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Literature
1.
go back to reference Newton JL, Reese JA, Watson SI, Vesely SK, Bolton-Maggs PH, George JN, Terrell DR: Fatigue in adult patients with primary immune thrombocytopenia. Eur J Haematol. 2011, 86: 420-429. 10.1111/j.1600-0609.2011.01587.x.CrossRefPubMed Newton JL, Reese JA, Watson SI, Vesely SK, Bolton-Maggs PH, George JN, Terrell DR: Fatigue in adult patients with primary immune thrombocytopenia. Eur J Haematol. 2011, 86: 420-429. 10.1111/j.1600-0609.2011.01587.x.CrossRefPubMed
2.
go back to reference Antman EM: ST-elevation myocardial infarction: management. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine, Volume 2. Edited by: Zipes DP, Libby P, Bonow RO, Braunwald E. 2005, Philadelphia: Saunders, 1167-1226. 7 Antman EM: ST-elevation myocardial infarction: management. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine, Volume 2. Edited by: Zipes DP, Libby P, Bonow RO, Braunwald E. 2005, Philadelphia: Saunders, 1167-1226. 7
3.
go back to reference Fuchi T, Kondo T, Sase K, Takahashi M: Primary percutaneous transluminal coronary angioplasty performed for acute myocardial infarction in a patient with idiopathic thrombocytopenic purpura. Jpn Circ J. 1999, 63: 133-136. 10.1253/jcj.63.133.CrossRefPubMed Fuchi T, Kondo T, Sase K, Takahashi M: Primary percutaneous transluminal coronary angioplasty performed for acute myocardial infarction in a patient with idiopathic thrombocytopenic purpura. Jpn Circ J. 1999, 63: 133-136. 10.1253/jcj.63.133.CrossRefPubMed
4.
go back to reference Kikuchi S, Hayashi Y, Fujioka S, Kukita H, Ochi N: A case of intracoronary stent implanted for acute myocardial infarction in an elderly patient with idiopathic thrombocytopenic purpura. Nippon Ronen Igakkai Zasshi. 2002, 39 (1): 88-93. 10.3143/geriatrics.39.88.CrossRefPubMed Kikuchi S, Hayashi Y, Fujioka S, Kukita H, Ochi N: A case of intracoronary stent implanted for acute myocardial infarction in an elderly patient with idiopathic thrombocytopenic purpura. Nippon Ronen Igakkai Zasshi. 2002, 39 (1): 88-93. 10.3143/geriatrics.39.88.CrossRefPubMed
5.
go back to reference Torbey E, Yacoub H, McCord D, Lafferty J: Two cases and review of the literature: primary percutaneous angiography and antiplatelet management in patients with immune thrombocytopenic purpura. ISRN Hematol. 2013, 2013: 174659-CrossRefPubMedPubMedCentral Torbey E, Yacoub H, McCord D, Lafferty J: Two cases and review of the literature: primary percutaneous angiography and antiplatelet management in patients with immune thrombocytopenic purpura. ISRN Hematol. 2013, 2013: 174659-CrossRefPubMedPubMedCentral
6.
go back to reference Park HJ, Seung KB, Kim PJ, Kang HH, Park CS, Kil UH, Choi MS, Baek SH, Kim JH, Choi KB: Intracoronary stent deployment without antiplatelet agents in a patient with idiopathic thrombocytopenic purpura. Korean Circ J. 2007, 37 (2): 87-90. 10.4070/kcj.2007.37.2.87.CrossRef Park HJ, Seung KB, Kim PJ, Kang HH, Park CS, Kil UH, Choi MS, Baek SH, Kim JH, Choi KB: Intracoronary stent deployment without antiplatelet agents in a patient with idiopathic thrombocytopenic purpura. Korean Circ J. 2007, 37 (2): 87-90. 10.4070/kcj.2007.37.2.87.CrossRef
7.
go back to reference Neskovic AN, Stankovic I, Milicevic P, Aleksic A, Vlahovic-Stipac A, Calija B, Putnikovic B: Primary PCI for acute myocardial infarction in a patient with idiopathic thrombocytopenic purpura. A case report and review of the literature. Herz. 2010, 35 (1): 43-49. 10.1007/s00059-010-3262-1.CrossRefPubMed Neskovic AN, Stankovic I, Milicevic P, Aleksic A, Vlahovic-Stipac A, Calija B, Putnikovic B: Primary PCI for acute myocardial infarction in a patient with idiopathic thrombocytopenic purpura. A case report and review of the literature. Herz. 2010, 35 (1): 43-49. 10.1007/s00059-010-3262-1.CrossRefPubMed
8.
go back to reference Yagmur J, Cansel M, Acikgoz N, Yagmur M, Eyupkoca F, Ermis N, Akturk E: Multivessel coronary thrombosis in a patient with idiopathic thrombocytopenic purpura. Tex Heart Inst J. 2012, 39 (6): 881-883.PubMedPubMedCentral Yagmur J, Cansel M, Acikgoz N, Yagmur M, Eyupkoca F, Ermis N, Akturk E: Multivessel coronary thrombosis in a patient with idiopathic thrombocytopenic purpura. Tex Heart Inst J. 2012, 39 (6): 881-883.PubMedPubMedCentral
9.
go back to reference Russo A, Cannizzo M, Ghetti G, Barbaresi E, Filippini E, Specchia S, Branzi A: Idiopathic thrombocytopenic purpura and coronary artery disease: comparison between coronary artery bypass grafting and percutaneous coronary intervention. Interact Cardiovasc Thorac Surg. 2011, 13 (2): 153-157. 10.1510/icvts.2011.271296.CrossRefPubMed Russo A, Cannizzo M, Ghetti G, Barbaresi E, Filippini E, Specchia S, Branzi A: Idiopathic thrombocytopenic purpura and coronary artery disease: comparison between coronary artery bypass grafting and percutaneous coronary intervention. Interact Cardiovasc Thorac Surg. 2011, 13 (2): 153-157. 10.1510/icvts.2011.271296.CrossRefPubMed
10.
go back to reference Stouffer GA, Hirmerova J, Moll S, Rubery B, Napoli M, Ohman EM, Simpson R: Percutaneous coronary intervention in a patient with immune thrombocytopenia purpura. Catheter Cardiovasc Interv. 2004, 61 (3): 364-367. 10.1002/ccd.10799.CrossRefPubMed Stouffer GA, Hirmerova J, Moll S, Rubery B, Napoli M, Ohman EM, Simpson R: Percutaneous coronary intervention in a patient with immune thrombocytopenia purpura. Catheter Cardiovasc Interv. 2004, 61 (3): 364-367. 10.1002/ccd.10799.CrossRefPubMed
11.
go back to reference Caputo RP, Abraham S, Churchill D: Transradial coronary stent placement in a patient with severe idiopathic autoimmune thrombocytopenic purpura. J Invasive Cardiol. 2000, 12 (7): 365-368.PubMed Caputo RP, Abraham S, Churchill D: Transradial coronary stent placement in a patient with severe idiopathic autoimmune thrombocytopenic purpura. J Invasive Cardiol. 2000, 12 (7): 365-368.PubMed
12.
go back to reference Méndez TC, Díaz O, Enríquez L, Baz JA, Fernández F, Goicolea J: Severe thrombocytopenia refractory to platelet transfusions, secondary to abciximab readministration, in a patient previously diagnosed with idiopathic thrombocytopenic purpura. A possible etiopathogenic link. Rev Esp Cardiol. 2004, 57 (8): 789-791. 10.1016/S0300-8932(04)77192-4.CrossRefPubMed Méndez TC, Díaz O, Enríquez L, Baz JA, Fernández F, Goicolea J: Severe thrombocytopenia refractory to platelet transfusions, secondary to abciximab readministration, in a patient previously diagnosed with idiopathic thrombocytopenic purpura. A possible etiopathogenic link. Rev Esp Cardiol. 2004, 57 (8): 789-791. 10.1016/S0300-8932(04)77192-4.CrossRefPubMed
13.
go back to reference Fong M-C, Chen K-C, Leu H-B, Chen L-C: Coronary revascularization in a patient with immune thrombocytopenic purpura. J Chin Med Assoc. 2006, 69 (9): 436-438. 10.1016/S1726-4901(09)70287-4.CrossRefPubMed Fong M-C, Chen K-C, Leu H-B, Chen L-C: Coronary revascularization in a patient with immune thrombocytopenic purpura. J Chin Med Assoc. 2006, 69 (9): 436-438. 10.1016/S1726-4901(09)70287-4.CrossRefPubMed
14.
go back to reference Gracia MCF, Cebollero IC, Lezcano JS-R, Osuna GG, Miguel JAD, Peralta LP: Invasive treatment performed for acute myocardial infarction in a patient with immune thrombocytopenic purpura. Int J Cardiol. 2008, 127 (3): e183-e185. 10.1016/j.ijcard.2007.05.075.CrossRefPubMed Gracia MCF, Cebollero IC, Lezcano JS-R, Osuna GG, Miguel JAD, Peralta LP: Invasive treatment performed for acute myocardial infarction in a patient with immune thrombocytopenic purpura. Int J Cardiol. 2008, 127 (3): e183-e185. 10.1016/j.ijcard.2007.05.075.CrossRefPubMed
15.
go back to reference Dhillon SK, Lee E, Fox J, Rachko M: Acute ST elevation myocardial infarction in patients with immune thrombocytopenia purpura: a case report. Cardiol Res. 2011, 2 (1): 42-45. Dhillon SK, Lee E, Fox J, Rachko M: Acute ST elevation myocardial infarction in patients with immune thrombocytopenia purpura: a case report. Cardiol Res. 2011, 2 (1): 42-45.
Metadata
Title
Coronary intervention for acute coronary syndrome in a 51-year-old man with immune thrombocytopenic purpura: a case report
Authors
Bora Demircelik
Meltem Altinsoy
Fadime Bozduman
Mahmut Gunes
Muzaffer Cakmak
Beyhan Eryonucu
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2014
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-8-214

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