Box Lyndon C, Hanak Viktor, Arciniegas Joaquin G
Department of Internal Medicine, Carraway Methodist Medical Center, Birmingham, Alabama, USA.
Tex Heart Inst J. 2004;31(4):442-4.
Coronary emboli are rare but devastating events. We present the case of a 31-year-old woman with peripartum cardiomyopathy and mural thrombus. She was admitted with an acute, non-ST elevation myocardial infarction. Two emboli were seen on the coronary angiogram: one in the left anterior descending coronary artery and a second in the left circumflex artery. Each embolus resolved after local infusion of eptifibatide at the time of angiography. There has been 1 report in the English-language medical literature of a similar coronary embolic event in the setting of peripartum cardiomyopathy; however, in that case, only 1 embolus was found. Our case further documents embolic coronary occlusion as a consequence of peripartum cardiomyopathy.
冠状动脉栓塞虽罕见但后果严重。我们报告一例31岁患有围产期心肌病及壁血栓的女性病例。她因急性非ST段抬高型心肌梗死入院。冠状动脉造影显示有两个栓子：一个位于左前降支冠状动脉，另一个位于左旋支动脉。血管造影时经局部输注依替巴肽后每个栓子均溶解。英文医学文献中有1例关于围产期心肌病背景下类似冠状动脉栓塞事件的报告；然而，在该病例中仅发现1个栓子。我们的病例进一步证明了围产期心肌病可导致栓塞性冠状动脉闭塞。
