Institute for Clinical and Experimental Medicine,
Linköping, Östergötland
Sweden
Case Report
Patient with Large Liver Tumor, Bleeding Ulcer and Unstable Angina
Treated with Coronary Stenting Followed by Portal Embolization and
Major Liver Surgery with Ticagrelor and Aggrastat Prophylaxis
Author(s): Per Sandstrom, Thomas Gasslander, Bergthor Björnsson, Rickard Bohnmark, Anna Holm, Thomas Muhr and Sofia Sederholm LawessonPer Sandstrom, Thomas Gasslander, Bergthor Björnsson, Rickard Bohnmark, Anna Holm, Thomas Muhr and Sofia Sederholm Lawesson
Background: There is very little data in the literature on how to handle Dual Antiplatelet Therapy (DAPT) and newly adapted Drug Eluting Stents (DES) in patients in need of liver surgery due to malignant disease.
Case report: A man, 79 years of age, with a bleeding hepatocellular carcinoma in a normal liver, bleeding duodenal ulcer and Acute Coronary Syndrome (ACS). Coronary angiography showed significant stenoses in the left main coronary artery (LM), Left Anterior Descending (LAD), first and second diagonal branches (D1, D2), Circumflex (Cx) and Right Coronary Artery (RCA). The patient was treated with Percutaneous Coronary Intervention (PCI) including six everolimus eluting coronary stents, aspirin and ticagrelor followed by portal embolization two months after stenting and another two mo.. Read More»
DOI:
10.4172/2165-7920.1000844
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report