Document Detail

A case of recurrent myocardial infarction caused by a giant right coronary artery aneurysm.
MedLine Citation:
PMID:  17681729     Owner:  NLM     Status:  MEDLINE    
We report a rare case of a giant coronary artery aneurysm with recurrent myocardial infarction (MI) in a 52-year-old man. He was admitted with severe chest pain and was diagnosed with acute MI. Ten days after thrombolysis, a transthoracic echocardiogram demonstrated a spherical mass apposed to the outer wall of the right atrium. Computed tomography with angiography showed this mass to be a huge aneurysm of the right coronary artery with a maximal diameter of 4 cm and filled with mural thrombus. Surgical resection of the aneurysm and coronary arterial bypass grafting were recommended. On day 60, while the patient awaited surgical treatment, recurrent MI caused by thrombotic occlusion occurred in the aneurysm site despite anticoagulant therapy. Two days after thrombolytic therapy, he underwent coronary artery bypass grafting and aneurysmal resection.
Masumi Iwai-Takano; Masayoshi Oikawa; Takayoshi Yamaki; Osamu Yamaguchi; Kazuhiko Nakazato; Taku Ohsugi; Atushi Kobayashi; Masayuki Watanabe; Hiroyuki Yaoita; Yukio Maruyama
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-27
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  20     ISSN:  1097-6795     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-06     Completed Date:  2007-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1318.e5-8     Citation Subset:  IM    
First Department of Internal Medicine, Fukushima Medical University, Fukushima, Japan.
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MeSH Terms
Coronary Aneurysm / ultrasonography*
Coronary Vessels / ultrasonography*
Middle Aged
Myocardial Infarction / etiology*,  ultrasonography*

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

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