Acute Myocardial Infarction Showing Total Occlusion of Right Coronary Artery and Thrombus Formation of Left Anterior Descending Artery
スポンサーリンク
概要
- 論文の詳細を見る
A 33-year-old Japanese man had an attack of chest pain associated with ST-segment elevation in the inferolateral leads on his electrocardiogram. Emergency coronary angio-graphy showed total obstruction in the mid right coronary artery (RCA) and a movable thrombus in the proximal left anterior descending artery (LAD). We performed emergency percutaneous transluminal coronary angioplasty (PTCA) for the RCA lesion. The operation was successful and we then conducted intracoronary thrombolysis (ICT) with tisokinase 6,400,000 IU for the LAD thrombus. Its size was reduced by ICT. He had an uneventful hospital course. After 1 month, repeat coronary angiography showed no significant stenosis in the RCA nor thrombus in the LAD. A coronary spasm provocation test was performed using acetylcholine. Coronary spasm in the LAD was induced by an intracoronary injection of 100 μg acetylcholine. In this case, we observed a unique condition suggesting simultaneous double coronary artery occlusion.
著者
-
Ohtani Ryuji
Division of Cardiology, Tokushima Red Cross Hospital
-
Suzuki Naoki
Division of Cardiology, Tokushima Red Cross Hospital
-
MIYAMOTO Hiroshi
Division of Biodefense, Departments of Pathology and Biodefense, Faculty of Medicine, Saga Universit
-
Hosokawa Shinobu
Division Of Cardiology Tokushima Red Cross Hospital
-
Tanimoto Masato
Division of Cardiology, Komatsushima Red Cross Hospital
-
Takahashi Takefumi
Division Of Cardiology Tokushima Red Cross Hospital
-
Kishi Koichi
Division Of Cardiology Tokushima Red Cross Hospital
-
Hiasa Yoshikazu
Division Of Cardiology Tokushima Red Cross Hospital
-
Hosokawa Shinobu
Division of Cardiology, Komatsushima Red Cross Hospital
-
Hiasa Yoshikazu
Division of Cardiology, Komatsushima Red Cross Hospital
-
Takahashi Takefumi
Division of Cardiology, Komatsushima Red Cross Hospital
-
Ohtani Ryuji
Division of Cardiology, Komatsushima Red Cross Hospital
-
Suzuki Naoki
Division of Cardiology, Komatsushima Red Cross Hospital
関連論文
- PJ-173 Impact of Serum High Molecular Wight Adiponectin Level on Cardiac Function in Patients with Type 2 Diabetes Mellitus(PJ029,Diabetes 2 (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PJ-172 Gender-specific Difference in the Relationships between Insulin Resistance and Drug-eluting Stent Restenosis(PJ029,Diabetes 2 (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-285 Relation between Admission Hyperglycemia, Microvascular Injury, and Long-Term Outcome after First Anterior Myocardial Infarction in Patients with and without Diabetes(PE048,ACS/AMI (Clinical/Diagnosis/Pathophysiology) (IHD),Poster Session (English)
- PE-238 Impact of Crossover-Stenting Using Sirolimus-Eluting Stents for Distal Left Main and Ostial Left Anterior Descending Artery on Ostial Circumflex Lesions(PE040,Coronary Revascularization, PCI (Restenosis/Others) 2 (IHD),Poster Session (English),The
- Relationship of Admission Neutrophil Count to Microvascular Injury, Left Ventricular Dilation, and Long-Term Outcome in Patients Treated With Primary Angioplasty for Acute Myocardial Infarction
- PJ-844 Improvement of insulin resistance reduces drug-eluting stent restenosis(Diabetes / Obesity / Metabolic syndrome(16)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-770 The Impact of Gender Difference in the Effects of Preinfarction Angina on Ventricular Remodeling with Reperfused Myocardial Infarction(Acute myocardial infarction, clinical(pathophysiology)(03)(IHD),Poster Session(Japanese),The 72nd Annual Scientif
- PJ-574 Impact of Changes of Endothelial Function on Adverse Cardiovascular Events after Acute Coronary Syndromes(Acute coronary syndrome, basic/clinical(05)(IHD),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Socie
- PJ-246 Impact of Male Gender on Long-term Outcome in Patients with Tako-tsubo Cardiomyopathy(Cardiomyopathy, basic/clinical(05)(M),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-742 Which is Better, Ostial or Crossover Stenting With Sirolimus-Eluting Stent for the Treatment of Ostial Left Anterior Descending Artery Lesions?(Coronary revascularization, PCI-20, The 71st Annual Scientific Meeting of the Japanese Circulation Socie
- PJ-179 The Impact of Gender Difference in the Effects of Preinfarction Angina on Recovery of Contractile Function with Reperfused Myocardial Infarction(Acute myocardial infarction, clinical (pathophysiology)-5, The 71st Annual Scientific Meeting of the Ja
- PJ-021 Which White Blood Cell Subtypes Predict Microvascular Injury after Successful Primary Angioplasty for Acute Myocardial Infarction?(Acute myocardial infarction, clinical (pathophysiology)-4, The 71st Annual Scientific Meeting of the Japanese Circula
- PJ-007 Distal Protection Reduced Onset of Heart Failure at Chronic State in Patients with Reperfused Anterior Myocardial Infarction(Acute myocardial infarction, clinical (diagnosis/treatment)-5, The 71st Annual Scientific Meeting of the Japanese Circulati
- OJ-118 Waist Circumference Reduction, not Body Mass Index, Improves Endothelial-Dependent Vasodilatation After Acute Coronary Syndrome(Diabetes/Obesity/Metabolic syndrome-03, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Reduced Coronary Flow Reserve of the Non-infarct Related Artery in Patients With Acute Myocardial Infarction Assessed by Transthoracic Doppler Echocardiography
- PJ-147 Impact of Plasma Adiponectin Level on Left Ventricular Hypertrophy in Patients with Type 2 Diabetes Mellitus(Diabetes/Obesity/Metabolic syndrome-10 (H) PJ25,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Ci
- OE-231 Coronary Flow Velocity Pattern Versus Coronary Flow Reserve for Predicting Functional Recovery After Primary Coronary Stenting for Acute Myocardial Infarction(Acute myocardial infarction, clinical (pathophysiology)-1 (IHD) OE39,Oral Presentation (E
- Left Ventricular Free Wall Rupture in Transient Left Ventricular Apical Ballooning
- Coronary Flow Reserve of the Non-infarct Related, Angiographically Normal Left Anterior Descending Coronary Artery in Patients with Acute Myocardial Infarction (Coronary Circulation, Basic/Clinical 6 (IHD), The 69th Annual Scientific Meeting of the Japane
- Does Pericardial Effusion Affect Microrvascular Damage?(Acute Myocardial Infarction, Clinical (Pathophysiology) 5 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PE-285 Relation between Admission Hyperglycemia, Microvascular Injury, and Long-Term Outcome after First Anterior Myocardial Infarction in Patients with and without Diabetes(PE048,ACS/AMI (Clinical/Diagnosis/Pathophysiology) (IHD),Poster Session (English)
- PE-238 Impact of Crossover-Stenting Using Sirolimus-Eluting Stents for Distal Left Main and Ostial Left Anterior Descending Artery on Ostial Circumflex Lesions(PE040,Coronary Revascularization, PCI (Restenosis/Others) 2 (IHD),Poster Session (English),The
- PJ-770 The Impact of Gender Difference in the Effects of Preinfarction Angina on Ventricular Remodeling with Reperfused Myocardial Infarction(Acute myocardial infarction, clinical(pathophysiology)(03)(IHD),Poster Session(Japanese),The 72nd Annual Scientif
- PJ-574 Impact of Changes of Endothelial Function on Adverse Cardiovascular Events after Acute Coronary Syndromes(Acute coronary syndrome, basic/clinical(05)(IHD),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Socie
- PJ-742 Which is Better, Ostial or Crossover Stenting With Sirolimus-Eluting Stent for the Treatment of Ostial Left Anterior Descending Artery Lesions?(Coronary revascularization, PCI-20, The 71st Annual Scientific Meeting of the Japanese Circulation Socie
- PJ-179 The Impact of Gender Difference in the Effects of Preinfarction Angina on Recovery of Contractile Function with Reperfused Myocardial Infarction(Acute myocardial infarction, clinical (pathophysiology)-5, The 71st Annual Scientific Meeting of the Ja
- PJ-021 Which White Blood Cell Subtypes Predict Microvascular Injury after Successful Primary Angioplasty for Acute Myocardial Infarction?(Acute myocardial infarction, clinical (pathophysiology)-4, The 71st Annual Scientific Meeting of the Japanese Circula
- PJ-007 Distal Protection Reduced Onset of Heart Failure at Chronic State in Patients with Reperfused Anterior Myocardial Infarction(Acute myocardial infarction, clinical (diagnosis/treatment)-5, The 71st Annual Scientific Meeting of the Japanese Circulati
- PJ-147 Impact of Plasma Adiponectin Level on Left Ventricular Hypertrophy in Patients with Type 2 Diabetes Mellitus(Diabetes/Obesity/Metabolic syndrome-10 (H) PJ25,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Ci
- OE-231 Coronary Flow Velocity Pattern Versus Coronary Flow Reserve for Predicting Functional Recovery After Primary Coronary Stenting for Acute Myocardial Infarction(Acute myocardial infarction, clinical (pathophysiology)-1 (IHD) OE39,Oral Presentation (E
- Coronary Flow Reserve of the Non-infarct Related, Angiographically Normal Left Anterior Descending Coronary Artery in Patients with Acute Myocardial Infarction (Coronary Circulation, Basic/Clinical 6 (IHD), The 69th Annual Scientific Meeting of the Japane
- Primary Cardiac Tumor Presenting as Obstruction of the Left Ventricular Outflow Tract
- PJ-545 Relation of admission white blood cell count to microvascular perfusion after successful primary angioplasty for acute myocardial infarction(Myocardial Ischemia-Reperfusion, Basic and Clinical 3 (M) : PJ91)(Poster Session (Japanese))
- PJ-527 Ultrasonic tissue characterization predicts left ventricular remodeling in patients with acute myocardial infarction after primary coronary angioplasty(Echo/Doppler 16 (I) : PJ88)(Poster Session (Japanese))
- PJ-247 Adjunctive distal embolic protection should be performed during primary coronary angioplasty for acute myocardial infarction with right coronary artery(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 10 (IHD) : PJ42)(Poster Session (Jap
- PJ-104 The Efficacy of Using Tapered-Tip Guidewires for Long Chronic Total Occlusion (>20mm)(Coronary Revascularization, PTCA/Stent/DCA/Rotablator/New Device 5 (IHD) : PJ18)(Poster Session (Japanese))
- PE-356 Long-term Nitrate Therapy Induce Coronary Endothelial Dysunction and Tolerance to Nitroglycerin in Patients with Myocardial Infarction(Cardiovascular Pharmacology, Basic/Clinical 4 (H) : PE61)(Poster Session (English))
- PE-338 Effect of Pre-Infarction Angina on Microvascular Damage After Primary Coronary Angioplasty for Acute Myocardial Infarction(Acute Myocardial Infarction, Clinical (Pathophysiology) 7 (IHD) : PE58)(Poster Session (English))
- OJ-025 Effect of Distal Protection Device on Microvascular Damage is Lost in Patients With Hyperglycemia After Reperfused Acute Myocardial Infarction(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 1 (IHD) : OJ4)(Oral Presentation (Japanese))
- Specific Findings of the Standard 12-Lead ECG in Patients With 'Takotsubo' Cardiomyopathy : Comparison With the Findings of Acute Anterior Myocardial Infarction
- The Predictors of Re-Restenosis after Cutting Balloon Angioplasty for In-Stent Restenosis-Second Strategy for Re-Restenosis?
- Rotastent Is not Effective in Small Coronary Arteries < 2.5mm in Diameter
- Preinfarction Angina Reduced Microvascular Damage and Size of Risk Area in Patients with Acute Reperfused Myocardial Infarction
- Early Prediction of Myocardial Salvage after Primary Coronary Angioplasty : Comparative Study of Coronary Flow Reserve and Perfusion-Metabolism Mismatch
- Distal Protection Device Reduce Microvascular Damages in Patient with Acute Myocardial Infarction : Comparison with Thrombus Aspiration Device
- Impact of Time to Reperfusion on Microvascular Damage after Primary Coronary Angioplasty for Acute Myocardial Infarction
- Influence of Diabetes Mellitus on Outcome in the Era of Primary Stenting for Acute Myocardial Infarction
- High levels of nonesterified fatty acid is a risk factor for increased cardiovascular disease in long-term clinical outcome
- Atorvastatin improves coronary endothelial function in patients with acute myocardial infarction
- Association between the vascular structural changes outside stent and instent neointimal proliferation : Coronary remodeling contributes to instent restenosis
- OE-251 Coronary Flow Reserve Immediately after Primary Coronary Stenting for Acute Myocardial Infarction Predicts Long-Term Adverse Cardiac Events(Acute myocardial infarction, clinical (pathophysiology)-1, The 71st Annual Scientific Meeting of the Japanes
- Relationship Between Initial Neutrophil Counts and Microvascular Injury After Primary Coronary Angioplasty for Acute Myocardial Infarction(Acute Myocardial Infarction, Clinical (Pathophysiology) 6 (IHD), The 69th Annual Scientific Meeting of the Japanese
- Distal Protection Device is More Useful in Large Vessel Patients of Acute Myocardial Infarction for Reduce Microvascular Damages(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 11 (IHD), The 69th Annual Scientific Meeting of the Japanese Circu
- Coronary Artery Endothelial Dysfunction in Patients with Normal Coronary Artery and Sleep Apnea Syndrome(Sleep Apnea and Cardiovascular Disease (M), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Intraoperative Gene Therapy of Coronary Artery Bypass Vein Grafts with E2F-Decoy: A Volumetric IVUS Subanalysis from PREVENT II Study
- Waist circumference reduction is more strongly correlated with the improvement in endothelial function after acute coronary syndrome than body mass index reduction
- Isolation and Identification of Mycobacteria from Soils at an Illegal Dumping Site and Landfills in Japan
- Coccoid Helicobacter pylori exists in the palatine tonsils of patients with IgA nephropathy
- Effect of Bacterial Media on the Evaluation of the Antibacterial Activity of a Biomaterial Containing Inorganic Antibacterial Reagents or Antibiotics
- P718 STENT-RELATED DISSECTION CAUSE AND RELATION OF RESTENOSIS RATE
- 0384 DOSE CORONARY ARTERIOSCLEROSIS PROGRESS IN HIGHER RATIO IN THE PATIENT WITH ARTERIOSCLEROTIC OBLITERANS(ASO)?
- 1058 Prognostic significance of left ventricular aneurysm as an independent risk factor of overall left ventricular function
- Validation of Longitudinal Peak Systolic Strain by Speckle Tracking Echocardiography With Visual Assessment and Myocardial Perfusion SPECT in Patients With Regional Asynergy
- Large burr sizing does not reduce the restenosis after rotastent in coronary arteries
- Coronary flow velocity pattern versus dobutamine echocardiography for predicting functional recovery after reperfusion of anterior myocardial infarction
- -P390- PERIPHERAL VASCULAR COMPLICATIONS AFTER BALLOON AND NEW DEVICE ANGIOPLASTY(PROCEEDINGS OF THE 59th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY)
- -1287- The efflcacy of progressive coronary dilatation(PROCEEDINGS OF THE 59th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY)
- A host-vector system for molecular study of the intracellular growth of Mycobacterium tuberculosis in phagocytic cells
- THE NECESSARY CONDITIONS,THERAPY AND PROGNOSIS OF TOTALLY OCCULUDED THREE CORONARY ARTERIES
- Effect of Regular Exercise on Coronary Endothelial Function in Patients With Recent Myocardial Infarction
- Acute Myocardial Infarction Showing Total Occlusion of Right Coronary Artery and Thrombus Formation of Left Anterior Descending Artery
- In Vivo Optical Coherence Tomography of Very Late Drug-Eluting Stent Thrombosis Compared With Late In-Stent Restenosis
- Impact of Hydroxymethylglutaryl Coenzyme A Reductase Inhibition on Left Ventricular Remodeling in Patients With Acute Anterior Myocardial Infarction After Primary Coronary Angioplasty
- BRONCHIAL SMEAR IN LUNG TRANSPLANTATION:Early detection of rejection in canine lung allotranspiantation
- HISTOCOMPATIBILITY TESTING IN HUMAN RENAL TRANSPLANTATION
- HL-A AND ITS CLINICAL APPLICATION