Multiple Plague Rupture in Setting of Acute Myocardial Infarction

Abstract

Background: ST-segment elevation myocardial infarction (STEMI) due to the simultaneous formation of thrombi in multiple arteries, known as multiple culprits, is an infrequent angiographic finding in clinical practice. Current guidelines for managing STEMI patients with multiple culprits are not very clear. However, various studies reported the beneficence of complete revascularization in such patients.

Case Presentation: We presented a series of five cases presented with STEMI with multiple culprits who underwent complete revascularization.

Management: The successful intervention of multiple culprits with closed contrast monitoring leads to a good outcome and a short hospital stay. Although, the optimal management strategy for the simultaneous multiple culprit lesions has yet to be established.

Conclusion: Acute myocardial infarction caused by simultaneous multi-vessel coronary occlusion is rarely reported. The successful intervention of multiple culprits with closed monitoring of the contrast leads to a good outcome and short hospital stay. Although, the optimal management strategy for the simultaneous multiple culprit lesions has yet to be established.