Title : Managing the unforeseen complications in MI
Abstract:
This presentation focuses on managing the unforeseen and unexpected complications in MI. A 43-year-old gentleman presented with an acute coronary syndrome. Patient was hemodynamically stable. Coronary angiogram was done via femoral route which revealed a double vessel disease with right coronary artery being the culprit (Posterior descending artery). However, patient developed unexpected hypotension during the procedure. Right external iliac ooze was promptly identified via femoral sheath angiography and managed with an initial balloon occlusion followed by external iliac stenting. He underwent interval coronary angioplasty of culprit vessel due to persistent angina. Timely recognition and management of femoral complications play an important role in saving the patient’s life. Sometimes, ballon occlusion may not be sufficient and may require placement of a covered stent at the earliest. Distal culprit lesions may not directly translate into hemodynamic compromise in MI setting, thus alternative causes should be looked for.
