Science Links Japan | Acute Myocardial Infarction Caused by Simultaneous Occlusion of the Right Coronary Artery and the Left Anterior Descending Coronary Artery Probably Due to Coronary Spasm: A Case Report

Acute Myocardial Infarction Caused by Simultaneous Occlusion of the Right Coronary Artery and the Left Anterior Descending Coronary Artery Probably Due to Coronary Spasm: A Case Report

Accession number;05A0464562

Title;Acute Myocardial Infarction Caused by Simultaneous Occlusion of the Right Coronary Artery and the Left Anterior Descending Coronary Artery Probably Due to Coronary Spasm: A Case Report

Author; SUZUKI NAOKI (Tokushima Red Cross Hospital, Tokushima) HIASA YOSHIKAZU (Tokushima Red Cross Hospital, Tokushima) MIYAZAKI SHINICHIRO (Tokushima Red Cross Hospital, Tokushima) TOMOKANE TAKESHI (Tokushima Red Cross Hospital, Tokushima) OGURA RIYO (Tokushima Red Cross Hospital, Tokushima) MIYAJIMA HITOSHI (Tokushima Red Cross Hospital, Tokushima) OHARA YOSHIKAZU (Tokushima Red Cross Hospital, Tokushima) YUBA KENICHIRO (Tokushima Red Cross Hospital, Tokushima) TAKAHASHI TAKEFUMI (Tokushima Red Cross Hospital, Tokushima)

Journal Title;J Cardiol

Journal Code:Y0264A

ISSN:0914-5087

VOL.45;NO.5;PAGE.213-217(2005)

Figure&Table&Reference;FIG.3, REF.9

Pub. Country;Japan

Language;English

Abstract;A 56-year-old man had an attack of chest pain associated with ST-segment elevation in both the inferolateral and anteroseptal leads on electrocardiography. Emergency coronary angiography shhowed thrombus in the mid right coronary artery and total occlusion in the distal left anterior descending coronary artery. Intravenous heparin infusion and antiplatelet therapy were given without other coronary intervention. After 1 week, repeat coronary angiography showed neither significant stenosis nor thrombus in the coronary arteries. Severe coronary artery spasm in the left coronary artery was induced by the provocation test with intracoronary injection of 50.MU.g acetylcholine. He had an uneventful hospital course. This unique case demonstrated intracoronary thrombus formation in the right coronary artery and left anterior descending coronary artery simultaneously due to suspected coronary spasm. (author abst.)

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