A 42-year-old man with recurrent myocardial infarction and normal appearing coronary arteries.
We report the occurrence of a coronary mural thrombus and recurrent myocardial infarction in a patient with normal-appearing epicardial coronary arteries and small-vessel coronary artery disease. The current case emphasizes the importance of permanent medical treatment with anti-platelet and vasodilators in patients with small-vessel coronary artery disease.
Danenberg
H D
HD
Department of Cardiology, Hadassah University Hospital, Jerusalem, Israel. danen@md2.huji.ac.il
Hasin
Y
Y
Gilon
D
D
D000328:Adult; D001241:Aspirin / Q000627:therapeutic use; D003328:Coronary Thrombosis / Q000209:etiology; D006801:Humans; D008297:Male; D017566:Microvascular Angina / Q000150:complications* / Q000188:drug therapy; D009203:Myocardial Infarction / Q000209:etiology*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012008:Recurrence; D014665:Vasodilator Agents / Q000627:therapeutic use; D014700:Verapamil / Q000627:therapeutic use
D010975:Platelet Aggregation Inhibitors; D014665:Vasodilator Agents; D014700:Verapamil; D001241:Aspirin