|
KMID : 0882420110810040496
|
|
Korean Journal of Medicine
2011 Volume.81 No. 4 p.496 ~ p.501
|
|
|
Concurrent Coronary Thromboembolism and Pulmonary Thromboembolism without Right-to-Left Shunt
|
|
Lee Min-Young
Yoon Duck-Hyoung
Lee Chan-Woo
Park Kyu-Tae
Ryu Myeong-Shin
Choi Hyun-Hee
Hong Kyung-Soon
|
|
|
Abstract
|
|
|
|
A 65-year-old woman was referred for management of chest pain and ST segment elevation on electrocardiography. Emergency coronary angiography revealed a well demarcated thrombus that near totally occluded the mid portion of the left anterior descending artery, with a Thrombolysis In Myocardial Infarction (TIMI) flow grade 1, and a fusiform aneurysm on the left main coronary artery. No significant stenosis was observed after aspiration of the thrombus; however, complete coronary reperfusion by urgent aspiration did not improve her dyspnea and tachypnea. Echocardiography revealed a D-shaped left ventricle; thus, we performed a chest computed tomography scan and diagnosed a pulmonary embolism. The patient’s coagulation studies were normal. She was prescribed chronic anticoagulation, and we carried out transthoracic echocardiography using second harmonic imaging with agitated saline. Second harmonic imaging with the Valsalva maneuver revealed no right-to-left shunt. We report here a case of concurrent coronary embolism and pulmonary embolism without right-to-left shunt.
|
|
|
KEYWORD
|
|
|
Embolism, Pulmonary embolism, Coronary aneurysm, Myocardial infarction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|