[Successful endovascular treatment of acute myocardial infarction in patients with novel coronavirus infection COVID-19 (case reports)].

Abstract

Presented herein are two clinical case reports regarding endovascular treatment of acute myocardial infarction in patients with the new coronavirus infection COVID-19. The first clinical case report describes the development of acute myocardial infarction in a 60-year-old male patient with the novel coronavirus infection and bilateral pneumonia (60% lesion of the lung parenchyma) with neither significant atherosclerotic process in coronary arteries nor cardiovascular risk factors. Acute myocardial infarction was characterized by isolated thrombosis of the right coronary artery. In the second case report, a 72-year-old woman was diagnosed as having atherosclerotic pathology of coronary arteries with unstable plaques and a predisposition to intracoronary thrombus formation. She was found to have critical stenoses of the anterior descending and circumflex branches of the left coronary artery, uncontrolled arterial hypertension, and dyslipidemia. Discussed in the article are technical peculiarities of coronary interventions in patients with COVID-19, accompanied and followed by analyzing clinical patterns of the diseases involved.