Large Thrombus in the Ascending Aorta Successfully Treated by Thrombolysis : An Unusual Cause of Acute Massive Myocardial Infarction
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概要
- 論文の詳細を見る
A 52-year-old woman suffered from acute massive myocardial infarction in association with a large thrombus in the ascending aorta. She was a moderate smoker and was taking hormone supplement therapy for menopausal hormone insufficiency and the contraceptive pill for endometriosis. Cardiac angiography revealed a large mobile filling defect close to the orifice of the left coronary artery, but the left coronary artery could not be visualized. Her hemodynamic condition was impaired so greatly that intraarterial counterpulsation and intravenous thrombolysis was immediately performed. The thrombus dissolved in 1 h and recanalization of the left coronary artery was achieved without serious systemic thromboembolism. She has been doing well with no cardiac events for 7 years. This is the second report of a large thrombus in ascending aorta being the cause of acute myocardial infarcfion in the whole territory of the left coronary artery, and the first to diagnose such a thrombus antemortem and treat it successfully. (Jpn Circ J 2001; 65: 572-574)
- 2001-05-20
著者
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SAITO Haruo
Department of Radiological Technology, School of Health Sciences, Faculty of Medicine
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ISHIBASHI Tadashi
Department of Radiological Technology, School of Health Sciences, Faculty of Medicine
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KATAHIRA YOSHIAKI
Department of Cardiology, Tohoku Employees' Pension Welfare Hospital
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Ito Hisao
Department Of Radiology Graduate School Of Medicine Chiba University
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Katahira Yoshiaki
Department Of Cardiology Tohoku Koseinenkin Hospital
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Katahira Yoshiaki
Department Of Cardiology Tohoku Employees' Pension Welfare Hospital
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Saito Haruo
Department Of Pharmaceutical Research Lead Chemical Co. Ltd.
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Ishibashi Tadashi
Department Of Diagnostic Radiology Miyagi Prefectural Semine Hospital
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Ishibashi Tadashi
Department Of Radiology Graduate School Of Medicine Tohoku University
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Takahashi Kazuhiko
Cardiology, Miyagi Prefectural Semine Hospital, Miyagi
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Sasaki Hidehiko
Cardiology, Miyagi Prefectural Semine Hospital, Miyagi
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Akiho Hiroshi
Cardiology, Miyagi Prefectural Semine Hospital, Miyagi
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Akiho Hiroshi
Cardiology Miyagi Prefectural Semine Hospital Miyagi
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Sasaki Hidehiko
Cardiology Miyagi Prefectural Semine Hospital Miyagi
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Ito Hisao
Department Of Radiology Chiba University School Of Medicine
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Ito Hisao
Department Of Radiology Chiba University Hospital
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Ito Hisao
Department Of Diagnostic Radiology And Respiratology Miyagi Prefectural Semine Hospital
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Ito Hisao
Departments Of Diagnostic Radiology
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Saito Haruo
Department Of Radiology Graduate School Of Medicine Tohoku University
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Saito Haruo
Department Of Drug Evaluation And Toxicological Sciences Faculty Of Pharmaceutical Sciences Chiba Un
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Ito Hisao
Departmen Of Radiology School Of Medicine Keio University
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Takahashi Kazuhiko
Cardiology Miyagi Prefectural Semine Hospital Miyagi
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Katahira Yoshiaki
Department of Cardiology, Tohoku Koseinenkin Hospital
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