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Honeycomb-like structure (HLS) in the left anterior-descending coronary artery—recanalized thrombus demonstrated by intravascular ultrasound (IVUS) in a patient with polycythemia vera and thrombocythemia

Wabenartige Struktur im Ramus interventricularis anterior bei einem Patienten mit Polycythaemia vera und Thrombozythämie: Nachweis eines rekanalisierten Thrombus mittels intravaskulären Ultraschalls

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Abstract

A 71 year old male patient who experienced acute myocardial infarction (AMI) 4 years ago and had a history of polycythemia vera and thrombocythemia was admitted because acute attack of chronic heart failure. Coronary angiography revealed an unusual filling defect in the middle segment of the left anterior descending (LAD) coronary artery and IVUS showed it is a HLS which is different from dissection or woven coronary artery. We review the recent literature of HLS in this article and further investigations are warranted for the optimal management of HLS.

Zusammenfassung

Ein 71 Jähriger Mann, der vor vier Jahre an Myokardinfarkt (AMI) erkrankt war, wurde von dem Krankenhaus aufgenommen wegen dem akuten Anfall der chronischen Herzinsuffizienz. Er hat auch die Krankengeschichte von Polycythaemia vera und Thrombozythämie.Koronarangiografie zeigt uns einen ungewöhnlichen Füllungsfehler in dem Mittesegment von (LAD) durch Koronararterie. Der IVUS zeigte, dass es sich um eine HLS handelt, die sich von einer Dissektion oder einer gewebten Koronararterie unterscheidet. Wir haben die aktuelle Literatur zu HLS in diesem Artikel überprüft und weitere Untersuchungen sind für das optimale Management von HLS gerechtfertigt.

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Funding

This study is supported by Shandong medical health science and technology development fund (202003011485); Jinan Health Commission Science and Technology development fund (020203-20); CCA-ACCESS fund(2020-019)

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Authors and Affiliations

  1. Department of Cardiology, Jinan Central Hospital Affiliated to Shandong First Medical University, Shandong, China

    Xiaoyuan Gao MD, PHD, Xinyun Li MD, PHD, Siyuan Ma MD, PHD, Guoying Su MD, PHD & Zhenhua Li MD, PHD

  2. Department of Cardiology, Central Hospital of Yidu, Shandong, China

    Bingkun Liu MD

Authors
  1. Xiaoyuan Gao MD, PHD
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  2. Bingkun Liu MD
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  3. Xinyun Li MD, PHD
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  4. Siyuan Ma MD, PHD
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  5. Guoying Su MD, PHD
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  6. Zhenhua Li MD, PHD
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Corresponding author

Correspondence to Zhenhua Li MD, PHD.

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This study was conducted in compliance with applicable local laws  including data protection laws, and any requirements imposed by local competent authorities, ethics committees, and institutional review boards.

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Gao, X., Liu, B., Li, X. et al. Honeycomb-like structure (HLS) in the left anterior-descending coronary artery—recanalized thrombus demonstrated by intravascular ultrasound (IVUS) in a patient with polycythemia vera and thrombocythemia. Herz 48, 470–473 (2023). https://doi.org/10.1007/s00059-023-05193-3

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  • DOI: https://doi.org/10.1007/s00059-023-05193-3

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