Acute Myocardial Infarction Due to Multiple Thrombosis without Cardiogenic Shock.

OBJECTIVE: Acute thrombotic occlusion of >1 major coronary arteries is very rare (2.5%). Herein, we report a patient with simultaneous anterior and inferior myocardial infarction without cardiogenic shock.

CLINICAL PRESENTATION AND INTERVENTION: A 43 year old woman was admitted with severe chest pain. Electrocardiography showed ST segment elevation in anterior and inferior derivations. There was no severe hypotension. Urgent coronary angiography showed that there were thrombotic occlusions in both LAD and RCA. Both lesions were successfully treated with coronary stenting.

CONCLUSION: If there is multiple ST segment elevation in presentation electrocardiography, clinicians should be aware of possible simultaneous coronary occlusions.