Young ST-Segment Elevation Myocardial Infarction With Autolysis: Survival of the Blessed.

ABSTRACT:

Background

Many times, young patients with ST-segment elevation myocardial infarction (STEMI) are angina free during primary percutaneous coronary intervention and have patent infarct-related artery with TIMI flow grade 3 due to the process of autolysis. These cases pose a great challenge to the interventionist mind. This case series provides a new perspective to the management of such patients.

Case summaries

Patient 1 is a 31-year-old man who presented with STEMI. During primary percutaneous coronary intervention (PPCI), thrombus laden left anterior descending artery (LAD) with TIMI flow grade 3 was noted. Stenting was deferred and repeat coronary angiogram (CAG) after 4 weeks showed resolved thrombus and optical coherence tomography (OCT) showed healed plaque rupture. Pat

SUBMITTER: Maurya P 

PROVIDER: S-EPMC12441500 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature