Acute Myocardial Infarction Showing Total Occlusion of Right Coronary Artery and Thrombus Formation of Left Anterior Descending Artery.
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- Hosokawa Shinobu
- Division of Cardiology, Komatsushima Red Cross Hospital
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- Hiasa Yoshikazu
- Division of Cardiology, Komatsushima Red Cross Hospital
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- Miyamoto Hiroshi
- Division of Cardiology, Komatsushima Red Cross Hospital
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- Suzuki Naoki
- Division of Cardiology, Komatsushima Red Cross Hospital
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- Takahashi Takefumi
- Division of Cardiology, Komatsushima Red Cross Hospital
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- Kishi Koichi
- Division of Cardiology, Komatsushima Red Cross Hospital
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- Tanimoto Masato
- Division of Cardiology, Komatsushima Red Cross Hospital
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- Ohtani Ryuji
- Division of Cardiology, Komatsushima Red Cross Hospital
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抄録
A 33-year-old Japanese man had an attack of chest pain associated with ST-segment elevation in the inferolateral leads on his electrocardiogram. Emergency coronary angio-graphy showed total obstruction in the mid right coronary artery (RCA) and a movable thrombus in the proximal left anterior descending artery (LAD). We performed emergency percutaneous transluminal coronary angioplasty (PTCA) for the RCA lesion. The operation was successful and we then conducted intracoronary thrombolysis (ICT) with tisokinase 6,400,000 IU for the LAD thrombus. Its size was reduced by ICT. He had an uneventful hospital course. After 1 month, repeat coronary angiography showed no significant stenosis in the RCA nor thrombus in the LAD. A coronary spasm provocation test was performed using acetylcholine. Coronary spasm in the LAD was induced by an intracoronary injection of 100 μg acetylcholine. In this case, we observed a unique condition suggesting simultaneous double coronary artery occlusion. <br>
収録刊行物
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- Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ
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Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ 42 (3), 365-369, 2001
International Heart Journal刊行会