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

Vasilyeva Larisa Ivanovna

Vasilyeva Larisa Ivanovna

Department of Internal Medicine 3, Dnipro State Medical UniversityDnipro, Ukraine
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Ivanovna, Vasilyeva Larisa
 y 
Kalashnikova Oksana Sergeevna

Kalashnikova Oksana Sergeevna

Department of Internal Medicine 3, Dnipro State Medical UniversityDnipro, Ukraine
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Sergeevna, Kalashnikova Oksana
  
12 sept 2025
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Categoría del artículo: Original Article
Publicado en línea: 12 sept 2025
DOI: https://doi.org/10.2478/rjc-2025-0024
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© 2024 Vasilyeva Larisa Ivanovna et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

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.
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Temas de la revista:
Medicina, Medicina Clínica, Medicina Interna, Cardiología, Cirugía, Cirugía cardíaca, Pediatría y medicina de adolescencia, Cardiología pediátrica
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