Acute myocardial infarction accompanying occlusion of left anterior descending and right coronary arteries.
- Author:
Eun Hee PARK
1
;
Kwang Soo CHA
;
Byung Hee KIM
;
Sang Gon KIM
;
Moo Hyun KIM
;
Young Dae KIM
;
Jong Seong KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. kwangsoo@damc.or.kr
- Publication Type:Case Report
- Keywords:
Myocardial infarction;
Thrombolytic therapy
- MeSH:
Chest Pain;
Constriction, Pathologic;
Coronary Angiography;
Coronary Vessels*;
Myocardial Infarction*;
Perfusion;
Thrombolytic Therapy;
Tomography, Emission-Computed, Single-Photon
- From:Korean Journal of Medicine
2003;64(1):109-113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute myocardial infarction (AMI) with simultaneous occlusion of two or three coronary arteries is extremely rare, but may cause devastating events unless immediate revascularization strategies are undertaken. We report an unusual case of AMI with ST-segment elevation in precordial leads. Thrombolysis was achieved successfully 2 hours after the onset of chest pain. Coronary angiography revealed residual heavy fresh thrombi at right coronary artery (RCA) as well as patent residual stenosis at left anterior descending coronary artery (LAD). Akinesia was demonstrated at anterolateral, apical, diaphragmatic, and posterobasal segments on left ventriculography. Large perfusion defects were proven at LAD and RCA territories on myocardial SPECT.
