Document Detail

Acute myocardial infarction with simultaneous occlusions of two major coronary arteries in a young man.
MedLine Citation:
PMID:  9491959     Owner:  NLM     Status:  MEDLINE    
Simultaneous formation of the thrombi in two different coronary arteries is a very rare event. We present a 34-year-old man with acute myocardial infarction due to simultaneous occlusion of the two major coronary arteries. His only risk factor was smoking 40 cigarettes daily. Emergency arteriography revealed a total occlusion of the proximal left anterior descending artery (LAD) and the left circumflex coronary artery (LCx). We performed primary angioplasty to the LAD and instituted thrombolytic therapy to the LCx. During intra-aortic balloon pumping and medical treatment, the patient had no symptoms of angina. He underwent a second catheterization 4 weeks after primary angioplasty. After intravenous ergonovine provocation, coronary arteriography revealed diffuse vasospasm of the LAD and the LCx. These data suggest that habitual heavy smoking and coronary spasm may have been causatory factors for myocardial infarction in this case.
Y Yoshitomi; S Kojima; M Kuramochi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  21     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-04-21     Completed Date:  1998-04-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  140-2     Citation Subset:  IM    
Division of Cardiology, Tohsei National Hospital, Shizuoka, Japan.
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MeSH Terms
Coronary Angiography
Coronary Disease / complications*,  diagnosis,  therapy
Follow-Up Studies
Heart Catheterization
Myocardial Infarction / complications*,  diagnosis,  therapy
Thrombolytic Therapy

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