<症例>短期間に同一部位で3度心筋梗塞再発を繰り返した1剖検例

概要

論文の詳細を見る
This is an autopsy case report with recurrent myocardial infarction. A 69-year-old man who had the first episode of myocardial infarction in December 1986 was admitted to our hospital because of recurrent myocardial infarction on January 3,1987. The coronary angiogram performed on admission revealed a complete occlusion at segment 7,which was subsequently recanalized up to 90% stenosis by intracoronary thrombolysis. On the fourth hospital day, however, he died of another episode of myocardial infarction recurring at the same portion. The postmortem examination revealed scattered pathologic lesions including fresh thrombus and revascularized aged one consistent with the new and the old infarctions, respectively. Intimal hemorrhage and fissuring of the endothelium were also important findings of this case. From these data it was concluded that intimal injury was a precipitating factor to intraluminal thrombus which played a great role in inducing repeated episodes of myocardial infarction in the present case.
近畿大学の論文
1988-09-25