Percutaneous transluminal coronary angioplasty of coronary artery embolism.
A 35-yr-old woman with known valvular heart disease presented with acute myocardial infarction. Angiography demonstrated a totally occluded distal left anterior descending coronary artery. Though initially successful, angioplasty ultimately failed to maintain arterial patency, leaving a more distal total occlusion after several balloon inflations. In spite of this, PTCA possibly provided a more localized infarction via a peripheral mobilization of the embolus.
Mamby
S A
SA
Harper Hospital, Detroit, Michigan.
Spears
J R
JR
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D003328:Coronary Thrombosis / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology; D014654:Vascular Patency