A female with mitral valvular disease presented an acute myocardial infarct
ion. She suddenly complained of recurrent chest pain with symptoms of pulmo
nary edema. The angiogram evidenced multiple coronary thromboemboli. A comb
ined strategy using intracoronary thrombolysis, a platelet glycoprotein IIb
/IIIa antagonist (abciximab) and percutaneous transluminal coronary angiopl
asty to help disrupt the thrombus was performed, Clinical and angiographic
signs of coronary reperfusion were rapidly achieved. No bleeding complicati
ons appeared. (C) 2000 Wiley-Liss, Inc.