scholarly journals Multiple distal coronary artery thrombosis in acute myocardial infarction: a rare presentation

2018 ◽  
pp. bcr-2018-226283
Author(s):  
Kunal Mahajan ◽  
Aditya Batra ◽  
Abhishek Gupta ◽  
Vinod Singla
2021 ◽  
Vol 29 (3) ◽  
pp. 395-398
Author(s):  
Hatice Dilek Özcanoğlu ◽  
İsa Özyılmaz

Perinatal myocardial infarction caused by aortic root and coronary artery thrombosis in neonatal period is extremely rare and has a gloomy prognosis that may cause devastating complications. A 3-h newborn baby who had acute myocardial infarction findings on postnatal electrocardiography had a thrombus in the aortic root with hyperechogenic right coronary artery region, and impaired right ventricular functions on echocardiography. The patient was urgently operated and thrombus was successfully removed from the aortic root and the right coronary artery. In conclusion, for large thrombi posing a risk for embolization in the aortic root, an urgent surgical thrombectomy procedure should be performed.


1981 ◽  
Author(s):  
R J Frink

TIn depth histologic study was performed on 23 patients who died during the acute phase or within the first three months following acute myocardial infarction. Six died suddenly and unexpectedly out of the hospital, five of these with the acute myocardial infarction unrecognized.The remainder were hospital deaths, five within the first 48 hours, 8 between 2-14 days, and 4 between 14 and 94 days. Five cases showed subendocardial infarction (SI). Four of these occuring out of hospital. The remaining 18 cases were transmural infarctions (TI). Sixteen of 17 hospital deaths exhibited TI.Special emphasis was given to a histologic search for coronary artery thrombosis, particularly nonocclusive thrombosis (NT), and fibrin fragments in the microcirculation. An acute coronary thrombus (ACT) was found in 22 of 23 (96%) cases. The ACT was totally occlusive in 12 of 23 (52%), and NT in 17 of 23 (74%). TI was associated with an acute occlusive thrombus (OT) in 11 of 18 (61%) , and with NT in 12 (67%). All five cases with SI had a NT. Seven (30%) exhibited both an OT and NT located in different coronary arteries. Six of these had TI.Fibrin fragments were located in the microcirculation of the myocardium in 15 of 23 (65%). These were associated with the fresh OT in 8 of 15 (53%) and with a NT in 12 of 15 (80%).Conclude: 1. NT is more common than OT in deaths associated with acute myocardial ’infarction 2. Fibrin fragments are present in the majority of patients with ACT, particularly NT. 3. SI was consistently asscoiated with NT. 4. OT and NT are frequently present in different arteries in the same heart. 5. NT are common in patients with TI.


2009 ◽  
Vol 66 (4) ◽  
pp. 333-337 ◽  
Author(s):  
Danica Cvetkovic-Matic ◽  
Milika Asanin ◽  
Dragan Matic ◽  
Branislava Ivanovic ◽  
Dragan Simic ◽  
...  

Background. The occurrence of an acute myocardial infarction following a hornet sting has been very rarely reported in the previous literature. Pathogenetic mechanisms include direct action of the venom components on the coronary endothelium and allergic reaction with mediators released from mast cells. The anaphylactic reaction and venom components can produce acute coronary artery thrombosis. Case report. We reported a 45-year-old man with acute myocardial infarction after a hornet sting in the presence of anaphylaxis. We also discussed clinical implications and pathophysiological mechanisms of acute myocardial infarction caused by hymenoptera sting. Conclusion. A case report of this unusual acute myocardial infarction highlights the potential acute myocardial ischemia associated with hymenoptera sting which requests early diagnosis, thorough cardiovascular evaluation and appropriate treatment.


2021 ◽  
Vol 93 (3) ◽  
pp. 348-351
Author(s):  
Aleksandr G. Chuchalin ◽  
Eugeny V. Bobkov

An analysis of the publication of the outstanding Russian therapist and cardiologist D.D. Pletnev (18711941) is given in the article. In 1925, he published an article On the issue of lifetime differential diagnosis of right and left coronary artery thrombosis in the journal Russian Clinics in Russian and German languages. Timely diagnosis of right myocardial infarction determines the prognosis and treatment tactics of this disease, and the case itself has a priority for the Russian science. The authors emphasize the outstanding talent of D.D. Pletnev as a physician and scientist, whose name is associated with the emergence of one of the most brilliant therapeutic schools (A.L. Myasnikov, E.I. Chazov, etc.).


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