title: Systemic embolization following thrombolytic therapy for acute myocardial infarction.
abstract: We describe a patient with acute inferior myocardial infarction who developed a "saddle" aortic embolus during streptokinase infusion. Three months previously, this patient had sustained an anterior infarction, and an apical aneurysm was found. This patient's embolus had most probably originated from a left ventricular mural thrombus that had been dislodged by streptokinase. As fibrinolytic treatment is gaining wide acceptance, physicians should be aware of this rare, but possible, complication.
authors.affiliation: Department of Internal Medicine, Hadassah University Hospital, Mt. Scopus, Israel.
authors.forename: D
authors.initials: D
authors.lastname: Zahger
authors.forename: A T
authors.initials: AT
authors.lastname: Weiss
authors.forename: H
authors.initials: H
authors.lastname: Anner
authors.forename: R
authors.initials: R
authors.lastname: Waksman
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000209:etiology*; D005260:Female; D006331:Heart Diseases / Q000209:etiology; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy*; D012008:Recurrence; D013300:Streptokinase / Q000627:therapeutic use*; D013923:Thromboembolism / Q000209:etiology*; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000209:etiology
chemical_list: D013300:Streptokinase