Systemic embolization following thrombolytic therapy for acute myocardial infarction.
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.
Zahger
D
D
Department of Internal Medicine, Hadassah University Hospital, Mt. Scopus, Israel.
Weiss
A T
AT
Anner
H
H
Waksman
R
R
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
D013300:Streptokinase