Document Detail

Acute myocardial infarction in a young man complicated with left ventricular thrombi.
MedLine Citation:
PMID:  15655278     Owner:  NLM     Status:  MEDLINE    
Premature coronary artery disease is very rare and complication with thrombus formation in the left ventricle is rarer still. A 23-year-old man was admitted to hospital for recent acute myocardial infarction after being struck by a basketball eight days previously. Echocardiography identified two peduncle thrombi at the apex of the left ventricle, which were confirmed with computed tomography. The proximal left anterior descending coronary artery was totally occluded. Following two weeks of treatment with heparin and warfarin, the patient agreed to undergo a coronary artery bypass graft and thrombectomy. The ecchymosed tissue around the coronary artery implied that a trauma injury might have been the cause of the coronary artery disease in this case. This work reviews the pathophysiology and natural history of coronary artery disease in a case of very young myocardial infarction.
Chia-Pin Lin; Feng-Chun Tsai; Pao-Hsien Chu; Shih-Ming Jung; Kun-Eng Lim; Chi-Tai Kuo; Ying-Shiung Lee
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Japanese heart journal     Volume:  45     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2005-01-18     Completed Date:  2005-02-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1029-35     Citation Subset:  IM    
Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei 105, Taiwan.
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MeSH Terms
Coronary Artery Bypass
Coronary Disease / etiology
Heart Diseases / complications*,  surgery
Heart Ventricles
Myocardial Infarction / etiology*,  surgery
Thrombosis / complications*,  surgery

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