{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T19:11:22Z","timestamp":1776539482446,"version":"3.51.2"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>We here report a case of ST-elevation myocardial infarction (STEMI) due to simultaneous acute coronary artery occlusions of two major coronary arteries in a patient with coronary ectasia. The patient had been previously submitted to percutaneous coronary angioplasty with bare metal stent implantation in both culprit vessels. Very late stent thrombosis could be the cause of the first occlusion, triggering the event in the other vessel. In addition, concomitant embolic sources were not identified. Although routine aspiration thrombectomy in STEMI was not proven to be beneficial in randomized clinical trials, it was of great value in this case. We also discuss the relation between coronary ectasia, chronic inflammatory status, and increased platelet activity which may have caused plaque disruption in another already vulnerable vessel.<\/jats:p>","DOI":"10.1155\/2018\/6148470","type":"journal-article","created":{"date-parts":[[2018,1,14]],"date-time":"2018-01-14T18:31:14Z","timestamp":1515954674000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Multiple Culprit Coronary Artery Thrombosis in a Patient with Coronary Ectasia"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9152-6993","authenticated-orcid":true,"given":"Bruno da Silva","family":"Matte","sequence":"first","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo Neves de","family":"Araujo","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Homem","family":"Valle","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Maria Rocha","family":"Krepsky","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"issue":"2","key":"1","first-page":"66","volume":"21","year":"2009","journal-title":"Journal of Invasive Cardiology"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.67.1.134"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000336"},{"issue":"5","key":"4","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/S0300-8932(03)76902-4","volume":"56","year":"2003","journal-title":"Revista Espan\u0303ola de Cardiologi\u0301a"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.54.4.392"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.117.309683"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2009.04.053"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2008.12.006"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1080\/14628840310016871"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2018\/6148470.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2018\/6148470.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2018\/6148470.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,1,14]],"date-time":"2018-01-14T18:31:15Z","timestamp":1515954675000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2018\/6148470\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":9,"alternative-id":["6148470","6148470"],"URL":"https:\/\/doi.org\/10.1155\/2018\/6148470","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"value":"2090-6404","type":"print"},{"value":"2090-6412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}