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Mural Thrombus in an Ectatic Right Coronary Artery Caused Acute Myocardial Infarction at Downstream Coronary Artery

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Title: Mural Thrombus in an Ectatic Right Coronary Artery Caused Acute Myocardial Infarction at Downstream Coronary Artery
Authors: Urasawa, Kazushi Browse this author →KAKEN DB
Inoue, Naoki Browse this author
Yokota, Takashi Browse this author →KAKEN DB
Oyama, Naotsugu Browse this author
Sakai, Hidetsugu Browse this author
Fujii, Satoshi Browse this author →KAKEN DB
Kitabatake, Akira Browse this author →KAKEN DB
Keywords: Coronary ectasia
Mural thrombus
Myocardial infarction
Issue Date: 2005
Publisher: International Heart Journal Association
Journal Title: International Heart Journal
Volume: 46
Issue: 2
Start Page: 313
End Page: 316
Publisher DOI: 10.1536/ihj.46.313
Abstract: A 72-year-old woman was admitted to our institution because of sudden chest pain. Emergency coronary angiography revealed thrombotic occlusion of the distal right coronary artery. A large cylindrical thrombus was retrieved from her distal right coronary artery using a thrombus aspiration catheter. IVUS showed minimal atherosclerosis and moderate ectatic change at the proximal right coronary artery. A reconstructed IVUS image also showed that a mural thrombus with abrupt ending was still retained at the ectatic segment. Based on this evidence, coronary ectasia was thought to be the primary cause for the thrombus formation and acute myocardial infarction in this case.
Type: article
URI: http://hdl.handle.net/2115/76933
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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