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

Author:

Watanabe Tomonori1,Fujinaga Hiroyuki2,Ikeda Yasumasa2,Higashi Teruo2,Murakami Masaru2,Kawahara Keiji2,Hayashi Ikuro2,Niki Toshiharu2,Shigekiyo Toshio3,Wakatsuki Tetsuzo4

Affiliation:

1. Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima,

2. Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima

3. Department of Internal Medicine, Tokushima Prefectural Central Hospital, Tokushima

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

Abstract

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.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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