Document Detail

Small vessel disease of the heart resulting in myocardial necrosis and death despite angiographically normal coronary arteries.
MedLine Citation:
PMID:  377934     Owner:  NLM     Status:  MEDLINE    
A 46 year old man who had undergone cardiac transplantation 1 year previously had progressive congestive heart failure without evidence of cardiac rejection. Cardiac catheterization and angiography revealed a reduced ejection fraction and cardiac output caused by diffuse left ventricular hypokinesia, but the epicardial coronary arteries were widely patent. The transit time of injected contrast material across the coronary arterial tree was greatly slowed. Within a few days cardiogenic shock and death occurred. The large epicardial coronary vessels were grossly patent at autopsy, although nonstenosing arteriosclerotic plaques were identifiable histologically. However, intramyocardial vessels showed severe arteriosclerotic narrowing, resulting in multiple, diffuse microinfarcts.
J W Mason; A Strefling
Related Documents :
2403514 - Heart failure in septic shock: effects of inotropic support.
2624814 - Changes in phase analysis patterns of radionuclide ventriculograms obtained from baboon...
8483194 - Combined severe myocardial and pulmonary contusion: early diagnosis with transesophagea...
694804 - Prolonged circulatory support with the intra-aortic balloon pump after myocardial infar...
11948894 - Influence of coronary collateral flow on restenosis following primary angioplasty for a...
2332934 - Clinical and exercise echocardiographic findings in patients with mitral valve prolapse.
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  44     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1979 Jul 
Date Detail:
Created Date:  1979-08-29     Completed Date:  1979-08-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  171-6     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Coronary Angiography
Coronary Disease / pathology*,  physiopathology,  radiography
Coronary Vessels / pathology*
Heart Conduction System / physiopathology
Heart Failure / etiology
Heart Transplantation*
Middle Aged
Myocardial Infarction / pathology*
Myocardium / pathology*
Transplantation, Homologous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Indications for surgical replacement of the mitral valve. With particular reference to common and un...
Next Document:  Some effects of deoxycholate administration on the metabolism of cholesterol in man.