Skip to main content

Advertisement

SpringerLink
Log in

Acute myocardial infarction in a young adult patient with simultaneous total occlusion of double coronary arteries

  • Case Report
  • Published:
Journal of Echocardiography Aims and scope Submit manuscript

Abstract

We report an otherwise healthy 16-year-old male patient with simultaneous double vessel acute myocardial infarction. Coronary angiography (CAG) showed simultaneous total occlusion of the left anterior descending artery (LAD) and the left circumflex artery (LCX). Emergent percutaneous coronary intervention (PCI) was performed on the diseased lesions. After PCI, coronary artery aneurysms were found in both the LAD and LCX. The patient was discharged after a 56-day hospitalization. The New York Heart Association (NYHA) Functional Classification at discharge was II. Medical therapy became ineffective over time because of exacerbated ischemic mitral regurgitation; successful mitral annuloplasty was performed. The post-operative course was uneventful.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Sia SK, Huang CN, Ueng KC, Wu YL, Chan KC. Double vessel acute myocardial infarction showing simultaneous total occlusion of left anterior descending artery and right coronary artery. Circ J. 2008;72(6):1034–6.

    Article  PubMed  Google Scholar 

  2. Pollak PM, Parikh SV, Kizilgul M, Keeley EC. Multiple culprit arteries in patients with ST segment elevation myocardial infarction referred for primary percutaneous coronary intervention. Am J Cardiol. 2009;104(5):619–23.

    Article  PubMed  Google Scholar 

  3. Bolognese L, Neskovic AN, Parodi G, Cerisano G, Buonamici P, Santoro GM, et al. Left ventricular remodeling after primary coronary angioplasty: patterns of left ventricular dilation and long-term prognostic implications. Circulation. 2002;106:2351–7.

    Article  PubMed  Google Scholar 

  4. Nesković AN, Marinković J, Bojić M, Popović AD. Early predictors of mitral regurgitation after acute myocardial infarction. Am J Cardiol. 1999;84:329–32.

    Article  PubMed  Google Scholar 

  5. Coller BS, Owen J, Jesty J, Horowitz D, Reitman MJ, Spear J, et al. Deficiency of plasma protein S, protein C, or antithrombin III and arterial thrombosis. Arteriosclerosis. 1987;7:456–62.

    CAS  PubMed  Google Scholar 

  6. Sorrell VL, Davis MJ, Bove AA. Origins of coronary artery ectasia. Lancet. 1996;347:136–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Laboratory Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan

    Motoki Miyauchi & Sachihiko Nobuoka

  2. Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan

    Masaki Izumo, Yoshihiro J. Akashi, Kengo Suzuki, Shonosuke Ryu, Nobuyuki Hashimoto, Fumihiko Miyake & Eiji Ohtaki

Authors
  1. Motoki Miyauchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Masaki Izumo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yoshihiro J. Akashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kengo Suzuki
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Shonosuke Ryu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Nobuyuki Hashimoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Fumihiko Miyake
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Sachihiko Nobuoka
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Eiji Ohtaki
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Masaki Izumo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miyauchi, M., Izumo, M., Akashi, Y.J. et al. Acute myocardial infarction in a young adult patient with simultaneous total occlusion of double coronary arteries. J Echocardiogr 8, 126–128 (2010). https://doi.org/10.1007/s12574-010-0045-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12574-010-0045-x

Keywords

Search

Navigation