title: Coronary thrombosis in the absence of angiographically-evident obstructive coronary disease.
abstract: A 31-year-old man with an acute myocardial infarction underwent intracoronary thrombolysis with streptokinase. Post-thrombolytic angiography revealed no underlying obstructive coronary disease. This particular syndrome of a documented thrombus in a normal vessel causing infarction has not previously been described. Such a sequence may explain the occurrence of myocardial infarction in some patients with normal coronary arteries. The mechanism by which thrombus occurs in an angiographically-normal coronary artery is at present undefined.
mesh_terms: D000328:Adult; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D011859:Radiography; D013300:Streptokinase / Q000627:therapeutic use
chemical_list: D013300:Streptokinase