Successful endovascular treatment of acute myocardial infarction in patients with novel coronavirus infection COVID-19 (case reports)

• Fokin A.A.
• Kireev K.A.
• Rudneva K.A.
• Fistakovskiy V.V.

Abstract

Presented herein are two clinical case reports regarding endovascular treatment of acute myocardial infarction in patients with the new coronavirus infection COVID-19.

The first clinical case report describes the development of acute myocardial infarction in a 60-year-old male patient with the novel coronavirus infection and bilateral pneumonia (60% lesion of the lung parenchyma) with neither significant atherosclerotic process in coronary arteries nor cardiovascular risk factors. Acute myocardial infarction was characterized by isolated thrombosis of the right coronary artery.

In the second case report, a 72-year-old woman was diagnosed as having atherosclerotic pathology of coronary arteries with unstable plaques and a predisposition to intracoronary thrombus formation. She was found to have critical stenoses of the anterior descending and circumflex branches of the left coronary artery, uncontrolled arterial hypertension, and dyslipidemia.

Discussed in the article are technical peculiarities of coronary interventions in patients with COVID-19, accompanied and followed by analyzing clinical patterns of the diseases involved.

Keywords:acute myocardial infarction; novel coronavirus infection; percutaneous coronary intervention; coronary thrombosis; manual thromboaspiration

References

1. Boytsov S.A., Shalnova S.A., Deev A.D. The epidemiological situation as a factor determining the strategy for reducing mortality in the Russian Federation. Therapeutic Archive. 2020; 92 (1): 4–9. DOI: https://doi.org/10.26442/00403660.2020.01.000510 (in Russian)

2. Oganov R.G., Kontsevaya A.V., Kalinina A.M. Economic burden of cardiovascular disease in the Russian Federation. Cardiovascular Therapy and Prevention. 2011; 10 (4): 4–9. DOI: https://doi.org/10.15829/1728-8800-2011-4-4-9 (in Russian)

3. Zdravookhraneniye v Rossii. 2021: stat. sb. М.: 2021; 171. (in Russian)

4. Barbarash O.L., Karetnikova V.N., Kashtalap V.V., et al. New coronavirus disease (COVID-19) and cardiovascular disease. Complex Issues of Cardiovascular Diseases. 2020; 9 (2): 17–28. DOI: https://doi.org/10.17802/2306-1278-2020-9-2-17-28 (in Russian)

5. Grigoryeva N.Yu., Tarlovskaya E.I. Management strategies of patients with acute coronary syndrome during COVID‑19 pandemic. Medical Almanac. 2020; 2 (63): 49–57.

6. Kireev K., Genkel V., Kuznetsova A., Sadykov R. Multivessel spontaneous coronary artery dissection in a patient after mild CODID-19: a case report. SAGE Open Medical Case Reports. 2020; 8: 989. DOI: https://doi.org/10.1177/2050313X20975989

7. Sinichkina A.A., Grigorieva B.Yu., Queen E.V. Features of the cytokine profile and its role in myocardial remodeling in patients with COVID-19 (review). Medical Almanac. 2021; 3 (68): 6–13. (in Russian)

8. Vremennye metodicheskie rekomendtsii “Profilaktika, diagnostika i lechenie novoy koronavirusnoy infektsii (COVID-19) Ministerstva zdravoohraneniya Rossiyskoy Federatsii (Versiya 14 ot 27.12.2021). М.: 2021; 233. (in Russian)

9. Rekomendatsii Evropeyskogo obshchestva kardiologov (ESC) i Evropeyskoy assotsiatsii kardiotorakal’nyh khirurgov (EACTS) po revaskulyarizatsii miokarda 2014. Russian Journal of Cardiology. 2015; 2 (118): 5–81. (in Russian)

10. Tereshchenko A.S., Arutyunyan G.K., Merkulov E.V., et al. Assessment of myocardial contractile function of left ventricle in patients with STEMI after use of manual thrombus aspiration: results of three years of observation. Journal of atherosclerosis and dyslipidemias. 2017; 4: 40–48. (in Russian)

11. Kireev К.А., Fokin A.A. Manual thromboaspiration as a method of recanalizing acute coronary occlusion in myocardial infarction. Russian Journal of Endovascular Surgery. 2020; 7 (1): 50–57. DOI: https://doi.org/10.24183/2409-4080-2020-7-1-50-57 (in Russian)