Related Experiment Videos
Acute myocardial infarction after simultaneous thrombosis in normal right and left coronary arteries
C V Serrano1, J A Ramires, O C Gebara
1Clinical Division, School of Medicine, University of São Paulo, Brazil.
Insights
This study reports a rare case of acute myocardial infarction caused by simultaneous nonocclusive thrombosis in multiple coronary arteries. Prompt thrombolytic therapy successfully lysed the clots, restoring normal coronary artery function.
Area of Science:
- Cardiology
- Interventional Cardiology
- Thrombosis Research
Background:
- Acute myocardial infarction (MI) diagnosis often involves identifying coronary artery blockages.
- Coronary artery thrombosis, while a known cause of MI, is rarely documented in multiple arteries simultaneously.
- The pathophysiology of multi-arterial coronary thrombosis remains largely unknown.
Abstract:
A 32-year-old male patient with clinical and electrocardiographic evidence of acute myocardial infarction underwent coronary angiographic study. We observed nonocclusive thrombosis simultaneously in right and left anterior descending coronary arteries, without confirmation of spasm or obstructive artery disease in other coronary branches. Documentation of coronary thrombosis in more than one artery is rare, and its pathophysiology is still unknown. With the advent of thrombolytic therapy and immediate coronary angiographic studies in patients with evolving myocardial infarction, it has been possible to confirm the presence of thrombus and the type of coronary disease. In this case, we observed total lysis of both thrombi and the final aspect of "normal" angiographically reperfused coronary arteries.