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Angiology
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Acute Myocardial Infarction in a Patient with Primary Coronary Dissection and Severe Coronary Vasospasm

A Case Report

Mitsuhide Imamura

Second Department of Internal Medicine, Fukuoka University School of Medicine

Yoshihiro Tsuchiya

Second Department of Internal Medicine, Fukuoka University School of Medicine

Hisashi Tahara

Second Department of Internal Medicine, Fukuoka University School of Medicine

Takanobu Nii

Second Department of Internal Medicine, Fukuoka University School of Medicine

Yoshiyuki Nakashima

Second Department of Internal Medicine, Fukuoka University School of Medicine

Kikuo Arakawa

Second Department of Internal Medicine, Fukuoka University School of Medicine

Hiroshi Kawaguchi

Second Department of Internal Medicine, Fukuoka University School of Medicine

A case of myocardial infarction associated with coronary artery dissection in a thirty- five-year-old woman is reported. An emergent coronary angiogram revealed extensive dissection and thrombosis in the right coronary artery; in addition, severe vasospasm was observed in the left coronary artery on the next day. She was successfully treated with intracoronary thrombolysis and intra-aortic balloon pumping. The patient is alive and well two years after infarction.

Angiology, Vol. 46, No. 10, 951-955 (1995)
DOI: 10.1177/000331979504601011
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