A Case of Acute Myocardial Infarction Caused by Distal Embolization of a Left Main Coronary Artery Thrombus
| Autor: | Kyung-Ryun Bae, Geun-Jin Ha, Ji Young Choi, Byong-Kyu Kim, So Yeon Kim, Young-Soo Lee, Kee-Sik Kim |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Embolism Case Report Anterior Descending Coronary Artery Chest pain Angioplasty Internal medicine Internal Medicine medicine cardiovascular diseases Myocardial infarction Thrombus business.industry medicine.disease Coronary arteries medicine.anatomical_structure cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business circulatory and respiratory physiology Artery |
| Zdroj: | Korean Circulation Journal |
| ISSN: | 1738-5520 |
| DOI: | 10.4070/kcj.2010.40.1.46 |
| Popis: | Coronary embolism is an uncommon cause of myocardial infarction. A 48-year-old male presented with typical chest pain of an MI. There was no definite ST segment change on electrocardiogram (ECG) and no elevation of myocardial enzymes. Coronary angiography (CAG) revealed occlusion of the distal left anterior descending coronary artery (dLAD), the distal left circumflex coronary artery (dLCX), the diagonal branch (D) and the obtuse marginal branch (OM), with a large filling defect in the left main coronary artery (LMA) that caused the myocardial infarction. We considered the possibility that coronary embolization was caused by the migration of a thrombus in the LMA during CAG. We did balloon angioplasty in the dLAD, dLCX, OM and D and treated the patient with glycoprotein IIb/IIIa receptor antagonist. However, thrombi remained in the dLAD, OM, and dLCX. After 3 days of anti-thrombotic treatment, follow-up CAG revealed only slight resolution of thrombi in the LAD. After triple antiplatelet agent medication for 1 year, a follow-up CAG showed a resolution of the thrombi in all coronary arteries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|