A 23-year-old patient with neurofibromatosis associated with acute myocardial infarction, vasospasm and a coronary artery ectasis
| Autor: | Masahiko Kinoshita, Mitsuhiro Kajinami, Toshimasa Kajinami, Nobuyuki Ohmichi, Naoko Ishimoto, Toshikazu Fuchi |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Cardiac Catheterization Neurofibromatoses medicine.medical_treatment Myocardial Infarction Coronary Vasospasm Antineoplastic Agents Iodine Radioisotopes Left coronary artery Internal medicine medicine.artery Oxytocics Internal Medicine medicine Humans cardiovascular diseases Myocardial infarction Neurofibromatosis Angioplasty Balloon Coronary Ergonovine Cardiac catheterization business.industry Coronary Aneurysm Vasospasm General Medicine medicine.disease Surgery Pedigree Stenosis 3-Iodobenzylguanidine medicine.anatomical_structure Right coronary artery cardiovascular system Cardiology business Artery |
| Zdroj: | Internal medicine (Tokyo, Japan). 36(9) |
| ISSN: | 0918-2918 |
| Popis: | We treated a 23-year-old male with neurofibromatosis with acute myocardial infarction. Cardiac catheterization revealed severe organic stenosis in the left anterior descending artery, an ectasic left circumflex artery and a small right coronary artery. Percutaneous transluminal coronary angioplasty (PTCA) was performed on the stenosis. In follow-up catheterizations, intracoronary administration of ergometrine induced vasospasm of the left coronary artery including at the PTCA site. An I 123 metaiodobenzylguanidine (MIBG) scintigram showed defects in the septum, inferior wall and apex. These findings suggest abnormality of the cardiac sympathetic nerve in neurofibromatosis. |
| Databáze: | OpenAIRE |
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