[Infarction in young women caused by intracoronary thrombosis on angiographically normal arteries: apropos of a case].
Myocardial infarction is a rare clinical event in young women. The usual presentation is similar to that of older adults. The authors report a case of anteroseptal infarction in a 24 year old woman presenting with paroxysmal epigastric pain without irradiation with fever, during menstruation. The electrocardiogram was compatible with acute pericarditis. The diagnosis was rectified by echocardiography which showed anteroseptal akinesia. Coronary angiography performed as an emergency showed a radiolucent mobile image in the mid segment of the left anterior descending artery with appearances of a distal embolism which were attributed to thrombosis. Intracoronary thrombolysis was associated with a good outcome.
Maillard
L
L
Service de cardiologie A, CHU Trousseau, Tours.
Moini
C
C
Paemelaere
J M
JM
Quilliet
L
L
Desveaux
B
B
Richard
M P
MP
Charbonnier
B
B
Raynaud
P
P
D000328:Adult; D000367:Age Factors; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use
D014568:Urokinase-Type Plasminogen Activator
Infarctus de la femme jeune par thrombose intracoronaire sur artère angiographiquement normale; à propos d'un cas.