Acute percutaneous transluminal coronary angioplasty complicated by embolism to a coronary artery remote from the site of infarction.
Percutaneous transluminal coronary angioplasty has emerged as a mode of treatment in patients with both chronic and acute coronary syndromes. Among the recognized complications of coronary angioplasty is coronary embolism. This case report describes a case of acute anterior myocardial infarction which was treated with angioplasty of the left anterior descending coronary artery. Postdilation angiography revealed obstruction of the posterior descending artery (in a left dominant system). The use of thrombolytic therapy previous to angioplasty is briefly discussed.
D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D003327:Coronary Disease / Q000209:etiology*; D004617:Embolism / Q000209:etiology*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*