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In-situ coronary thrombosis without atherosclerosis in a young male: A case of multifactorial thrombophilia Cover

In-situ coronary thrombosis without atherosclerosis in a young male: A case of multifactorial thrombophilia

Romanian Journal of Cardiology
Volume 35 (2025): Issue 3 (September 2025)
By: Vasilyeva Larisa Ivanovna and  Kalashnikova Oksana Sergeevna  
Open Access
|Sep 2025

Figures & Tables

Figure 1

Electrocardiogram. QS complex in V1, absence of R-wave progression in V2–V4, ST depression in leads II, III, and aVF.
Electrocardiogram. QS complex in V1, absence of R-wave progression in V2–V4, ST depression in leads II, III, and aVF.

Figure 2

Angiogram of the left coronary artery. Coronary angiography (12 hours post-symptom onset) revealed a mural thrombus in the proximal left anterior descending artery (LAD) with TIMI III flow and no signs of atherosclerosis, dissection, or vasospasm.
Angiogram of the left coronary artery. Coronary angiography (12 hours post-symptom onset) revealed a mural thrombus in the proximal left anterior descending artery (LAD) with TIMI III flow and no signs of atherosclerosis, dissection, or vasospasm.

Figure 3

Angiogram of the right coronary artery. The right coronary artery is normal.
Angiogram of the right coronary artery. The right coronary artery is normal.

Figure 4

Electrocardiogram (discharge). Persistent QS complex in V1–V2, minimal R-wave in V3 (1 mm), no positive dynamics in V4, confirming completed transmural Q-wave MI.
Electrocardiogram (discharge). Persistent QS complex in V1–V2, minimal R-wave in V3 (1 mm), no positive dynamics in V4, confirming completed transmural Q-wave MI.
DOI: https://doi.org/10.2478/rjc-2025-0024 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 220 - 224
Published on: Sep 12, 2025
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
myocardial infarction,
in-situ thrombosis,
antiphospholipid syndrome,
thrombophilia,
COVID-19,
young adults,
genetic risk
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Surgery,
Cardiac surgery,
Pediatrics and juvenile medicine,
Paediatric cardiology

© 2025 Vasilyeva Larisa Ivanovna, Kalashnikova Oksana Sergeevna, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

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