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Idiopathic thrombocytopenic purpura (ITP) is a common hematologic disease of variable clinical severity. Low platelet counts is the clinical hallmark of disease. We report a case of young male patient with ITP who presented twice with acute myocardial infarction (MI) and reinfarction. He underwent primary percutaneous coronary intervention (PCI) on both occasions. We highlighted the management difficulties of interventional procedure like to decide whether do only balloon angioplasty, implant bare metal stent (BMS) or drug eluting stent (DES), duration of  dual antiplatelet agent (DAPT) and final outcome of our patient.

PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN A PATIENT WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA: CHALLENGES WE FACE