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Acute Myocardial Infarction in a Patient with Essential Thrombocythemia Who Underwent Successful Stenting

A Case Report

Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima, wtomo{at}par.odn.ne.jp

Hiroyuki Fujinaga, MD

Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima

Yasumasa Ikeda, MD

Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima

Teruo Higashi, MD

Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima

Masaru Murakami, MD

Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima

Keiji Kawahara, MD

Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima

Ikuro Hayashi, MD

Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima

Toshiharu Niki, MD

Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima

Toshio Shigekiyo, MD

Department of Internal Medicine, Tokushima Prefectural Central Hospital, Tokushima

Tetsuzo Wakatsuki, MD

Second Department of Internal Medicine, Tokushima University School of Medicine, Tokushima, Japan

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.

Angiology, Vol. 56, No. 6, 771-774 (2005)
DOI: 10.1177/000331970505600616


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