Document Detail


Subclavian artery thrombosis associated with acute ST-segment elevation myocardial infarction.
MedLine Citation:
PMID:  19932294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Presentation of acute ST segment elevation myocardial infarction in the setting of acute subclavian artery thrombosis in a patient who underwent coronary artery bypass grafting with a left internal mammary artery graft, which is not believed to have been previously described. We report a 75-year-old woman with presentations of dizziness, nausea, left-arm numbness, and a cold left hand, who later had chest pain develop. Acute ST segment elevation myocardial infarction was diagnosed, and both a computed tomography and an angiography disclosed a thrombus extending from the proximal portion of the left subclavian artery to the orifice of the left internal mammary artery. The patient was free from the previously listed symptoms after undergoing emergent thrombectomy, with complete extraction of the long thrombus from the subclavian artery. Unfortunately, she died of pneumonia and septic shock 1 1/2 months later.
Authors:
Cheng-Hsueh Wu; Shih-Hsien Sung; Julia Chia-Yu Chang; Cheng-Hsiung Huang; Tse-Min Lu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  88     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2036-8     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiology, Department of Medicine, Taipei Medical University-Shuang Ho Hospital, Taipei, Taiwan. chwu6@vghtpe.gov.tw
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography
Electrocardiography*
Fatal Outcome
Female
Follow-Up Studies
Humans
Myocardial Infarction / complications*,  physiopathology
Subclavian Artery*
Thrombectomy / methods
Thrombosis / etiology*,  radiography,  surgery
Tomography, X-Ray Computed

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


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