Acute Myocardial Infarction in a Patient With Anomalous Left Coronary Artery Origin and Primary Antiphospholipid Syndrome
スポンサーリンク
概要
- 論文の詳細を見る
Anomalous left main coronary artery(LMCA) originating from the right coronary sinus and running between the aorta and pulmonary trunk is a rare congenital condition. Although this disease is known to be associated with myocardial infarction and sudden death, the precise mechanism is uncertain. A 14-year-old male with this anomaly developed myocardial infarction during exercise complicated by primary antiphospholipid syndrome. He was admitted to hospital with persistent chest pain and sudden cardiac collapse that occurred while he was running. Cardiac catheterization demonstrated a narrowed segment in the LMCA and impaired blood flow, prompting a diagnosis of extensive anterior myocardial infarction. Emergency bypass surgery was performed using a single saphenous vein graft to the left anterior descending artery. Postoperative angiography showed the presence of an anomalous LMCA arising from the right sinus of Valsalva and running between the great vessels. The aortic samples were pathologically normal. He was discovered to also have primary antiphospholipid syndrome and was discharged without symptoms after warfarin therapy. Complicated primary antiphospholipid syndrome may trigger myocardial infarction in asymptomatic patients with this type of coronary anomaly.
- 社団法人日本循環器学会の論文
- 2000-02-20
著者
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ISAKA Naoki
First Department of Internal Medicine, Mie University School of Medicine
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NAKANO Takeshi
First Department of Internal Medicine, Mie University School of Medicine
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Kouji Takakazu
Radiology Mie University Graduate School Of Medicine
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Isaka Naoki
First Department Of Internal Medicine Mie University School Of Medicine
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Okamoto Shinya
Cardiology Matsusaka Central Hospital
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Okamoto Shinya
Division Of Internal Medicine Nabari Shiritsu Hospital
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Makino Katsutoshi
Matsusaka central hospital
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Okamoto Ryuji
First Department of Internal Medicine, Mie University School of Medicine
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Saito Kimimasa
Cardiology Matsusaka Central Hospital
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Miyahara Masatoshi
Cardiology Matsusaka Central Hospital
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Makino Katsutoshi
Cardiology Matsusaka Central Hospital
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Hirano Ryuji
Thoracic Surgery Departments, Matsusaka Central Hospital
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Kimura Makoto
Thoracic Surgery Departments, Matsusaka Central Hospital
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Ohi Tsutomu
Thoracic Surgery Departments, Matsusaka Central Hospital
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Kouji Takakazu
Cardiology Matsusaka Central Hospital
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Okamoto Shinya
Nabari Municipal Hospital
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Nakano Takeshi
First Department Of Internal Medicine Mie University School Of Medicine
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Ohi Tsutomu
Thoracic Surgery Departments Matsusaka Central Hospital
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Hirano Ryuji
Thoracic Surgery Departments Matsusaka Central Hospital
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Koji Takafumi
First Department Of Internal Medicine Mie University School Of Medicine
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Koji Takafumi
Radiology Mie University Graduate School Of Medicine
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Okamoto Ryuji
Department Of Cardiology And Nephrology Mie University Graduate School Of Medicine
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Makino Katsutoshi
First Department Of Internal Medicine Mie University School Of Medicine
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Makino Katsutoshi
Division Of Internal Medicine Matsusaka Chuo General Hospital
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Okamoto Ryuji
Department Of Cardiology Mie University School Of Medicine
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Okamoto Ryuji
Department Of Cardiology Mie University Graduate School Of Medicine
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Nakano Takeshi
First Department Of Internal Medicine Mie University
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Nakano Takeshi
First Department Of Internal Medicine Mie Uiniversity
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Okamoto Shinya
First Department Of Internal Medicine University Of Mie
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Kimura Makoto
Thoracic Surgery Departments Matsusaka Central Hospital
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Nakano Takeshi
First Dep. Of Int. Med. Mie Univ. School Of Med. Tsu Mie
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Takeda Kan
Radiology Mie University Graduate School Of Medicine
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