Document Detail


Acute myocardial infarction with simultaneous involvement of right coronary artery and left anterior descending artery: a case report.
MedLine Citation:
PMID:  20638042     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute myocardial infarction is usually caused by rupture of unstable plaque and involves a single coronary artery. Simultaneous occlusions of multiple coronary arteries in patients with ST elevation myocardial infarction are uncommon and lead to a fatal outcome. We report a 75-year-old male presenting with persistent chest pain complicated by ventricular fibrillation. After defibrillation and cardiopulmonary resuscitation, an emergency coronary angiogram showed total occlusion of the right coronary artery, and thrombus in the proximal left anterior descending artery. Both coronary arteries underwent successful balloon inflation and stenting. The patient finally survived under ventilatory support. This rare case suggests that aggressive reperfusion therapy and even mechanical support to improve poor clinical outcome are suggested in high risk patients with multivessel occlusions.
Authors:
Wen-Hsien Lee; Po-Chao Hsu; Tsung-Hsien Lin; Ho-Ming Su; Wen-Ter Lai; Sheng-Hsiung Sheu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Kaohsiung journal of medical sciences     Volume:  26     ISSN:  1607-551X     ISO Abbreviation:  Kaohsiung J. Med. Sci.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-10-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960562     Medline TA:  Kaohsiung J Med Sci     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  384-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Angiography
Coronary Artery Disease / diagnosis,  etiology,  therapy*
Coronary Thrombosis / diagnosis,  etiology,  therapy*
Coronary Vessels / surgery
Humans
Male
Myocardial Infarction / complications*

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