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Acute Myocardial Infarction in a Patient with Essential Thrombocythemia Who Underwent Successful Stenting: A Case Report

Essential thrombocythemia (ET) can cause systemic vascular thrombosis, but involvement of coronary arteries in the setting of ET is rare. This report describes a case of acute myocardial infarction (MI) in a patient with ET. A 67-year-old man with ET complained of severe acute chest pain. Emergent c...

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Bibliographic Details
Published in:Angiology 2005-11, Vol.56 (6), p.771-774
Main Authors: Watanabe, Tomonori, Fujinaga, Hiroyuki, Ikeda, Yasumasa, Higashi, Teruo, Murakami, Masaru, Kawahara, Keiji, Hayashi, Ikuro, Niki, Toshiharu, Shigekiyo, Toshio, Wakatsuki, Tetsuzo
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Language:English
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Summary:Essential thrombocythemia (ET) can cause systemic vascular thrombosis, but involvement of coronary arteries in the setting of ET is rare. This report describes a case of acute myocardial infarction (MI) in a patient with ET. A 67-year-old man with ET complained of severe acute chest pain. Emergent coronary angiography revealed subtotal thrombotic occlusion of the left main trunk (LMT) coronary artery. Coronary angioplasty and stenting were performed successfully. Coronary angiography 4 weeks later revealed no significant restenosis. The patient has done well after primary coronary stenting with the use of only an antiplatelet agent to treat the thrombocythemia.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331970505600616