Serrano C V, Ramires J A, Gebara O C, Cesar L A, Lage S
Clinical Division, School of Medicine, University of São Paulo, Brazil.
Clin Cardiol. 1991 May;14(5):436-8. doi: 10.1002/clc.4960140514.
A 32-year-old male patient with clinical and electrocardiographic evidence of acute myocardial infarction underwent coronary angiographic study. We observed nonocclusive thrombosis simultaneously in right and left anterior descending coronary arteries, without confirmation of spasm or obstructive artery disease in other coronary branches. Documentation of coronary thrombosis in more than one artery is rare, and its pathophysiology is still unknown. With the advent of thrombolytic therapy and immediate coronary angiographic studies in patients with evolving myocardial infarction, it has been possible to confirm the presence of thrombus and the type of coronary disease. In this case, we observed total lysis of both thrombi and the final aspect of "normal" angiographically reperfused coronary arteries.
一名32岁男性患者，有急性心肌梗死的临床和心电图证据，接受了冠状动脉造影研究。我们观察到右冠状动脉和左前降支冠状动脉同时出现非闭塞性血栓形成，其他冠状动脉分支未证实有痉挛或阻塞性动脉疾病。多条动脉出现冠状动脉血栓形成的记录很少见，其病理生理学仍不清楚。随着溶栓治疗的出现以及对进展性心肌梗死患者进行即时冠状动脉造影研究，已能够证实血栓的存在和冠状动脉疾病的类型。在该病例中，我们观察到两个血栓均完全溶解，以及冠状动脉造影显示“正常”再灌注后的最终情况。
