Occluding clot in the left main coronary artery with survival long enough to develop massive left ventricular wall necrosis
| Autor: | Ildefonso J. Mas, Mazhar U. Sheikh, William C. Roberts, Charles W. Barth, Padma K. Shutlk |
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| Rok vydání: | 1985 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Necrosis Embolism Myocardial Infarction Lumen (anatomy) Arterial Occlusive Diseases Electrocardiography Left coronary artery medicine.artery Internal medicine medicine Humans cardiovascular diseases Myocardial infarction Aged medicine.diagnostic_test business.industry Myocardium Cardiogenic shock medicine.disease Coronary Vessels Surgery medicine.anatomical_structure Angiography Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business Left ventricular wall Artery |
| Zdroj: | The American Journal of Cardiology. 55:1218-1220 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/0002-9149(85)90668-x |
| Popis: | Total occlusion of the left main (LM) coronary artery is rare in patients with acute myocardial infarction (AMI). We found published reports describing 5 patients with AMI who by angiography during the first day of presentation had total occlusion of the LM coronary artery. 1–3 . All 5, each of whom had presented with cardiogenic shock, had early intracoronary thrombolytic therapy with opening of the lumen of the LM coronary artery and all survived. Additionally, another reported patient with AMI had total occlusion of the LM coronary artery by angiogram at day 15—but no coronary angiogram or thrombolytic therapy earlier—and this patient was alive 1 year later. 4 The present report was prompted by study at necropsy of a patient who survived 54 hours after onset of AMI and who had total occlusion of the LM coronary artery by clot superimposed on atherosclerotic plaque. |
| Databáze: | OpenAIRE |
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