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Acute Myocardial Infarction in a Patient With Anomalous Left Coronary Artery Origin and Primary Antiphospholipid Symdorome
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- OKAMOTO Ryuji
- First Department of Internal Medicine, Mie University
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- SAITO Kimimasa
- Cardiology
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- MIYAHARA Masatoshi
- Cardiology
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- OKAMOTO Sinya
- Cardiology
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- MAKINO Katsutoshi
- Cardiology
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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
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- ISAKA Naoki
- First Department of Internal Medicine, Mie University
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- NAKANO Takeshi
- First Department of Internal Medicine, Mie University
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Description
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.
Journal
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- Jpn Circ J
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Jpn Circ J 64 (3), 214-217, 2000-02-20
Japanese Circulation Society
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Keywords
Details 詳細情報について
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- CRID
- 1573668926883838464
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- NII Article ID
- 110002571795
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- NII Book ID
- AA00690731
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- ISSN
- 00471828
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- Text Lang
- en
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- Data Source
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- CiNii Articles