068 Coronary spasm: a rare cause of myocardial infarction

Coronary spasm as a cause of perioperative myocardial infarction.

The case of a patient with severe left main trunk disease is presented, in which spasm of the right coronary artery resulted in intraoperative myocardial ischemia and perioperative myocardial infarction. It is suggested that coronary spasm may be a cause of perioperative myocardial infarction, and has to be considered in case of unknown etiology.

Left main coronary artery spasm--a rare entity as a cause of myocardial infarction in a patient.

UNLABELLED Coronary artery disease (CAD) remains the major cause of mortality and morbidity in the United States despite significant advances for the prevention and treatment of CAD. Coronary artery spasm causing demand-supply mismatch with coronary ischemia can mimic CAD, resulting in unnecessary interventions. Left main coronary artery spasm, in particular, is a rare entity with only a few ca...

A rare cause of myocardial infarction: coronary embolism in a patient with prosthetic mitral valve thrombosis.

The incidence of systemic embolization with mechanical valves is 1% per year [1]. Most cases present as cerebrovascular events. As the incidence of mechanical valve surgery has increased in recent years, systemic thromboembolism has become an important problem. Although coronary embolism due to mechanical valve thrombosis is encountered rarely, it is an important and serious complication. We re...

Isolated hypoplastic circumflex coronary artery: a rare cause of haemorrhagic myocardial infarction in a young athlete

Hypoplastic coronary artery disease is a rare condition that may lead to myocardial infarction and sudden death. Here we describe for the first time an isolated hypoplasia of the left circumflex artery (LCX). An otherwise healthy and athletically active 16-year-old boy was admitted to the intensive care unit (ICU) after out-of-hospital cardiac arrest. He died 12 hours after the initial event. A...

Coronary spasm in myocardial infarction: fact or fiction?