Hypertrophic Cardiomyopathy Complicated with Acute Myocardial Infarction due to Coronary Embolism

We report a case of acute myocardial infarction due to coronary embolism in a patient with echocardiographically documented hypertrophic cardiomyopathy. Emergency coronary arteriography revealed embolic occlusion of the proximal left circumflex coronary artery and the first diagonal branch. Intracor...

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Veröffentlicht in:	Internal Medicine 1997, Vol.36(9), pp.613-617
Hauptverfasser:	IWAMA, Tom, ASAMI, Kouichi, KUBO, Ichirou, KITAZUME, Hidemasa
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angioplasty, Balloon, Coronary atrial fibrillation Biological and medical sciences Cardiology. Vascular system Cardiomyopathy, Hypertrophic - complications Coronary Angiography Coronary heart disease Coronary Thrombosis - complications Echocardiography Embolism - complications Heart Humans left atrial appendage thrombus Male Medical sciences Myocardial Infarction - etiology Thrombolytic Therapy transesophageal echocardiography
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Zusammenfassung:	We report a case of acute myocardial infarction due to coronary embolism in a patient with echocardiographically documented hypertrophic cardiomyopathy. Emergency coronary arteriography revealed embolic occlusion of the proximal left circumflex coronary artery and the first diagonal branch. Intracoronary thrombolysis with urokinase and subsequent balloon angioplasty was successful. Transesophageal echocardiography revealed thrombus in the left atrial appendage. Coronary arteriography performed on the 46th hospital day revealed a patent left circumflex coronary artery and diagonal branch. The patient was discharged uneventfully. (Internal Medicine 36: 613-617, 1997)
ISSN:	0918-2918 1349-7235
DOI:	10.2169/internalmedicine.36.613