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A Case of Acute Myocardial Infarction following Occlusive Intracoronary Thrombi Caused by Coronary Artery Spasm Ken Kadowaki 1 , Tadaya Sato 1 , Yoshihisa Abe 1 , Naoki Yanagiya 1 , Tadayuki Kumagai 1 1Division of Cardiology, Akita Medical Center Keyword: 冠動脈攣縮 , 冠動脈血栓 , 急性心筋梗塞 , coronary artery spasm , coronary artery thrombus , acute myocardial infarction pp.705-708
Published Date 1992/7/15
DOI https://doi.org/10.11477/mf.1404900510
  • Abstract
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A 65-year-old man underwent coronary angiography (CAG) after 10 hours from the onset of myocardial infarction. We observed large Thrombi at the filling defect in the proximal site and mid-portion of the right coronary artery. CAG showed that they had disappear-ed completely without residual stenosis on the 4th day. In addition to this segmental spasms developed sponta-neously at the proximal site of a thrombus accompanied by ST elevation, but these spasms recovered after intra-coronary infusion of isosorbide dinitrate on the 26th day CAG.


Copyright © 1992, Igaku-Shoin Ltd. All rights reserved.

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

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