Hypertrophic cardiomyopathy complicated with acute myocardial infarction due to coronary embolism

被引：11

作者：

Iwama, T

Asami, K

Kubo, I

Kitazume, H

机构：

[1] Department of Internal Medicine, Tokyo Metropolitan Bokutou Hospital, Tokyo

[2] Department of Internal Medicine, Tokyo Metropolitan Bokutou Hospital, Sumida-ku, Tokyo 130

来源：

INTERNAL MEDICINE | 1997年 / 36卷 / 09期

关键词：

left atrial appendage thrombus; transesophageal echocardiography; atrial fibrillation; ARTERY EMBOLISM;

D O I：

10.2169/internalmedicine.36.613

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of acute myocardial infarction due to coronary embolism in a patient with echocardiographically documented hypertrophic cardiomyopathy. Emergency coronary arteriography revealed embolic occlusion of the proximal left circumflex coronary artery and the first diagonal branch. Intracoronary thrombolysis with urokinase and subsequent balloon angioplasty was successful. Transesophageal echocardiography revealed thrombus in the left atrial appendage. Coronary arteriography performed on the 46th hospital day revealed a patent left circumflex coronary artery and diagonal branch. The patient was discharged uneventfully.

引用

页码：613 / 617

页数：5

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