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Chest, Vol 84, 768-770, Copyright © 1983 by American College of Chest Physicians

ARTICLES

Coronary thrombosis in the absence of angiographically-evident obstructive coronary disease

R Ross, R Kay, J Ambrose and MV Herman

A 31-year-old man with an acute myocardial infarction underwent intracoronary thrombolysis with streptokinase. Post-thrombolytic angiography revealed no underlying obstructive coronary disease. This particular syndrome of a documented thrombus in a normal vessel causing infarction has not previously been described. Such a sequence may explain the occurrence of myocardial infarction in some patients with normal coronary arteries. The mechanism by which thrombus occurs in an angiographically-normal coronary artery is at present undefined.




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Copyright © 1983 by the American College of Chest Physicians.