Resolution of an iatrogenic coronary artery thromboembolus.
A patient with an iatrogenic coronary thromboemboulus, sustained during selective left coronary catheterization is presented. The embolus was identified by angiography and its complete resolution was documented in the same manner three months later. Despite chest pain and elevation of the cardiac enzymes, the electrocardiogram showed only nonspecific changes and the absence of macroscopically identifiable infarction was demonstrated at thoracotomy. Thromboembolization may be a more common cause of complication with the Judkins technique than generally realized but may be compatible with complete recovery and be avoided by special catheterization practices.
D006328:Cardiac Catheterization / Q000009:adverse effects; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000503:physiopathology*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D012075:Remission, Spontaneous; D013923:Thromboembolism / Q000503:physiopathology*