Acute Myocardial Infarction Caused by Multiple Coronary Thrombosis:a Case Report

VernacularTitle:冠状动脉多发血栓致急性心肌梗死一例
Author: Lu CHEN ¹ ; Xinyao LIU ; Xing GE ; Bo CHEN ; Hairong YU ; Yafeng LU ; Caixia GUO
Author Information

1. 首都医科大学附属北京同仁医院心血管中心,北京 100176
Keywords: coronary heart disease; acute myocardial infarction; thrombus; thrombosis
From: Chinese Circulation Journal 2024;39(9):913-916
CountryChina
Language:Chinese
Abstract: Multiple thrombosis in the coronary arteries need to be characterized by a thorough determination of the source of the thrombus to distinguish them as thrombosis or coronary embolism.This case was a 38-year-old male patient with chest pain and an electrocardiogram showing acute inferior wall and right ventricular myocardial infarction.Emergency coronary angiography showed thrombosis in the proximal middle of the left anterior descending artery,the opening of the first diagonal artery,and the middle of the right coronary artery,but no obvious stenosis was seen.Postoperative electrocardiogram showed acute inferior wall,right ventricular and anterior wall myocardial infarction,and intensive antithrombotic treatment was applied,elective re-examination of coronary angiography and intraluminal imaging showed mixed plaques and suspicious intimal dissection,indicating the possibility of thrombosis secondary to unstable plaque and coronary dissection,and intensive drug treatment was given.After discharge,the patient was stable during the regular follow-up visits.