PMC10329443_01
Total thrombotic occlusion of left anterior descending artery and stenosis of the left circumflex artery.
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On the coronary angiography prior to stent placement, total thrombotic occlusion of LAD at its midsegment was seen, along with 30% stenosis of the left circumflex artery (LCX) followed by subtotal occlusion after giving obtuse marginal artery (Figure 1).
Coronary blood flow after aspiration thrombectomy and balloon angioplasty.
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Therefore, balloon angioplasty was performed, and a drug-eluting stent was deployed (Figure 2).
Trends of platelet count post percutaneous coronary intervention.
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Additionally, other laboratory parameters including hemoglobin and creatine were within normal ranges and comparable to the baseline line which makes the possibility of microangiopathic hemolytic anemia less likely (Figure 3). Fortunately, the patient's platelet count recovered gradually, with complete resolution four days after the initial presentation, reaching 168 x 109/L without need for a blood component transfusion or other supportive measures, and he was discharged thereafter (Figure 3).