Haywood L J, Khan A H, Bornheimer J, Finck E, Tatter D
Department of Medicine, Los Angeles County+USC Medical Center, USA.
J Natl Med Assoc. 1997 Jun;89(6):415-20.
Two separate episodes of severe chest pain occurred several years apart in a 25-year-old male patient with typical clinical findings of acute myocardial infarction with each episode. Cardiac catheterization following the second infarction confirmed the presence of myocardial dysfunction with apical akinesis and dyskinesis. Both coronary arteries were radiologically patent; however, there was evidence of probable recanalization of the right coronary artery. Several months later, the patient developed flank pain, hematuria, progressive renal failure, and cardiac decompensation, and died with intractable arrhythmias. At autopsy, a large apical mitral thrombosis was found and was the presumptive source of multiple systemic emboli.
一名25岁男性患者，有典型的急性心肌梗死临床表现，两次严重胸痛发作相隔数年。第二次心肌梗死后的心脏导管检查证实存在心肌功能障碍，伴有心尖运动减弱和运动障碍。两条冠状动脉在放射学上均通畅；然而，有证据表明右冠状动脉可能发生了再通。几个月后，患者出现侧腹痛、血尿、进行性肾衰竭和心脏失代偿，最终死于顽固性心律失常。尸检发现心尖部有一个巨大的二尖瓣血栓，推测是多个全身栓塞的来源。
