title: Oesophageal dissection after thrombolytic treatment for myocardial infarction.
abstract: A 62 year old woman admitted with a history suggesting acute myocardial infarction had thrombolytic treatment with anisoylated plasminogen-streptokinase activator complex, which resulted in submucosal haemorrhage in the oesophagus; this caused dissection of the wall of the oesophagus and complete dysphagia. The haematoma resolved spontaneously, leaving behind a diverticulum, with reduced peristalsis and delayed emptying but no obstruction.
authors: Wrexham Maelor Hospital, Clwyd.
authors: F
authors: F
authors: Jishi
authors: C E
authors: CE
authors: Sissons
authors: E J
authors: EJ
authors: Silverstone
authors: J F
authors: JF
authors: Coakley
authors: F
authors: F
authors: Fraser
mesh_terms: D016255:Anistreplase / Q000009:adverse effects*; D003680:Deglutition Disorders / Q000139:chemically induced; D004936:Diverticulum, Esophageal / Q000139:chemically induced; D004935:Esophageal Diseases / Q000139:chemically induced*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
chemical_list: D016255:Anistreplase