[Myocardial infarction caused by the thrombosis of the common trunk of the left coronary artery. Fatal outcome despite an early obstruction removal by angioplasty. Apropos of a case].
We report an exceptional case of acute myocardial infarction due to thrombosis of the left main coronary artery in a 39-year old male patient. After failure of recanalization by systemic fibrinolysis, percutaneous angioplasty under circulatory assistance was successfully performed pending a possible transplantation. The patient unfortunately died of haemodynamic disturbances 48 hours after the infarction.
Delarche
N
N
Hôpital cardiologique, Inserm U 8, université de Bordeaux II, Pessac.
Colle
J P
JP
Casteigt
F
F
Ducoudre
M
M
Besse
P
P
D000328:Adult; D000800:Angioplasty, Balloon; D003327:Coronary Disease / Q000150:complications*; D003328:Coronary Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy; D015425:Myocardial Reperfusion / Q000379:methods; D011859:Radiography; D013300:Streptokinase / Q000627:therapeutic use
D013300:Streptokinase
Infarctus du myocarde par thrombose du tronc commun de la coronaire gauche. Evolution fatale malgré une désobstruction précoce par angioplastie. A propos d'un cas.