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A Case of Atrial Fibrillation complicated with Cerebral Infarction and Acute Myocardial Infarction due to Thrombo-embolism Kouji Maeno 1 , Manabu Nakano 1 , Hisayoshi Murai 1 , Shoichi Kubota 1 , Motosaburo Horikoshi 1 , Hitoshi Takemori 1 , Yukihiro Bando 1 , Kazuo Notsumata 1 , Yasuyuki Ushiki 1 , Kazuhiro Okafuji 1 , Taisyuu Toya 1 , Nobuyoshi Tanaka 1 1Division of Internal Medicine, Fukuiken Saiseikai Hospital Keyword: 慢性心房細動 , 脳塞栓 , 冠動脈塞栓 , atrial fibrillation , cerebral infarction , coronary embolism pp.521-525
Published Date 2003/5/1
DOI https://doi.org/10.11477/mf.1404100664
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Summary

 We report a case of cerebral infarction and acute myocardial infarction due to thromboembolism in a 79-year-old man with atrial fibrillation. He was admitted to a hospital near his house because of cerebral infarction. The day after admission, he experienced severe chest pain and was introduced to our hospital. The electrocardiogram at the time of admission showed normal sinus rhythms and elevation of the ST segment at the anterior chest leads. The electrocardiogram taken seven hours after admission showed sustained atrial fibrillation. The findings of the coronary arteriogram revealed total obstruction of the peripheral site of the left descending and circumflex coronary artery. We diagnosed acute myocardial infarction due to thromboembolismes of two branches of the left coronary artery. We performed balloon angioplasty on the left descending coronary artery and intracoronary thrombolysis on the left circumflex coronary artery, until we obtained reperfusion of the bilateral coronary arteries. Coronary angiography in the chronic stage showed normal findings for a lesion of the left circumflex coronary artery, but restenosis was found at the site of the lesion in the left descending coronary artery. Thus, in the course of cerebral infarction due to thromboembolism in a patient with atrial fibrillation, we should be aware of a possible complication such as acute myocardial infarction


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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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