Multiple Atherosclerotic Coronary Aneurysms in Association with Acute Myocardial Infarction

A 60-year-old woman with multiple coronary aneurysms, complicated with acute infero-posterior myocardial infarction is presented. The cine-coronary arteriogram disclosed a diffuse dilatation of epicardial coronary arteries associated with multiple aneurysms, fusiform ones in the right coronary and t...

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Published inJapanese Heart Journal Vol. 23; no. 3; pp. 375 - 380
Main Authors MAKINO, Naoki, INOU, Tetsuji, TAJIMI, Tsukasa, KIKUCHI, Yutaka, TAKESHITA, Akira, MITSUTAKE, Arahito, ORITA, Yasuhiko, NAKAMURA, Motoomi
Format Journal Article
LanguageEnglish
Published Japan International Heart Journal Association 01.01.1982
Subjects
Aneurysm - complications
Aneurysm - diagnosis
Aneurysms of three vessels
Coronary angiogram
Coronary Angiography
Coronary Disease - complications
Coronary Disease - diagnosis
Electrocardiography
Female
Humans
Middle Aged
Myocardial Infarction - etiology
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Summary:A 60-year-old woman with multiple coronary aneurysms, complicated with acute infero-posterior myocardial infarction is presented. The cine-coronary arteriogram disclosed a diffuse dilatation of epicardial coronary arteries associated with multiple aneurysms, fusiform ones in the right coronary and the left circumflex coronary arteries and saccular ones in the left anterior descending coronary artery. Distal run-off was poor. Ventriculography revealed a decrease in the ejection fraction (36%) and segmental abnormal wall motion at the apical and infero-posterior regions. The cause of the aneurysms appeared to be atherosclerotic. We suggested that coronary embolization was the cause of acute myocardial infarction in this case.
Bibliography:ObjectType-Case Study-2
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ISSN:0021-4868
1348-673X
DOI:10.1536/ihj.23.375