Acute myocardial infarction caused by thrombotic occlusion of a coronary aneurysm.
We encountered an unusual case of acute myocardial infarction due to obstruction of a coronary aneurysm in a 38-year-old Japanese man. Although thrombolysis and rescue percutaneous transluminal coronary angioplasty, performed in the acute phase, did not result in recanalization, serial angiography and intravascular ultrasonography showed spontaneous recanalization and partial thrombosis within the aneurysmal segment during 3 months.
Otsuka
M
M
Department of Cardiology, Osaka City General Hospital, Japan.
Minami
S
S
Hato
K
K
Suto
Y
Y
Kajiwara
K
K
Yamagishi
H
H
Itagane
H
H
Tojo
O
O
Okumachi
F
F
Haze
K
K
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D003323:Coronary Aneurysm / Q000150:complications*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D012075:Remission, Spontaneous; D015912:Thrombolytic Therapy; D017211:Treatment Failure; D018084:Ultrasonography, Interventional