Mr. Phan, a 43-year-old man, experienced severe chest pain that lasted for 5 hours before he was rushed to the hospital in Ninh Thuan for emergency treatment. The doctor discovered that hundreds of blood clots were blocking most of his coronary arteries, leading to an acute myocardial infarction. The patient had difficulty breathing and was transferred to Tam Anh General Hospital in Ho Chi Minh City in critical condition due to dense blood clots in the largest blood vessel supplying the heart.
Dr. Huynh Ngoc Long, who treated Mr. Phan, mentioned that it was rare to see a patient with so many blood clots blocking coronary arteries. The patient’s heavy smoking habit for nearly 20 years was identified as a significant risk factor for the formation of blood clots in the coronary arteries. Dr. Long explained that individuals who smoke heavily are more susceptible to blood clotting, especially when there are ruptures or erosions of atherosclerotic plaques in the coronary arteries.
The medical team decided to perform a “dual procedure” combining thrombectomy with coronary microvascular dilation drugs, angioplasty, and stent placement for Mr. Phan. This intervention aimed to revascularize his coronary artery while reducing the risk of clots breaking off during the intervention and potentially causing cardiac arrest or stroke. After the successful intervention, Mr. Phan experienced relief from chest pain and shortness of breath, and his heart function improved significantly enough for him to be discharged from the hospital after five days.
Dr. Long emphasized the importance of lifestyle changes and medication adherence in reducing the risk of coronary thrombosis in the future.
In summary, Mr. Phan’s severe chest pain led him to undergo an emergency treatment at Ninh Thuan Hospital after experiencing chest pain for 5 hours with difficulty breathing behind his sternum spreading left shoulder area . Upon arrival at Tam Anh General Hospital in Ho Chi Minh City, he received anticoagulants due to dense blood clots in largest blood vessel supplying heart which resulted from heavy smoking habit over nearly 20 years being identified as significant risk factor for formation of blood clots in coronary arteries . To address risks posed by surgery , medical team performed dual procedure combining thrombectomy with coronary microvascular dilation drugs angioplasty and stent placement . After successful intervention , Mr Phan experienced relief from chest pain shortness of breath while heart function improved significantly enough for him to be discharged from hospital after five days . Dr Long emphasized importance lifestyle changes medication adherence reduce future risk of coronary thrombosis
