Acute myocardial infarction in a patient with essential thrombocythemia who underwent successful stenting--a case report.
Essential thrombocythemia (ET) can cause systemic vascular thrombosis, but involvement of coronary arteries in the setting of ET is rare. This report describes a case of acute myocardial infarction (MI) in a patient with ET. A 67-year-old man with ET complained of severe acute chest pain. Emergent coronary angiography revealed subtotal thrombotic occlusion of the left main trunk (LMT) coronary artery. Coronary angioplasty and stenting were performed successfully. Coronary angiography 4 weeks later revealed no significant restenosis. The patient has done well after primary coronary stenting with the use of only an antiplatelet agent to treat the thrombocythemia.
Watanabe
Tomonori
T
Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima, Japan. wtomo@par.odn.ne.jp
Fujinaga
Hiroyuki
H
Ikeda
Yasumasa
Y
Higashi
Teruo
T
Murakami
Masaru
M
Kawahara
Keiji
K
Hayashi
Ikuro
I
Niki
Toshiharu
T
Shigekiyo
Toshio
T
Wakatsuki
Tetsuzo
T
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011859:Radiography; D015607:Stents; D013920:Thrombocythemia, Essential / Q000150:complications* / Q000188:drug therapy
D010975:Platelet Aggregation Inhibitors