Interv Akut Kardiol. 2006;5(5):224-226

ACUTE CORONARY SYNDROME WITH ANGIOGRAPHICALLY NORMAL CORONARY ARTERIES - THE ROLE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN DETERMINATION OF THERAPEUTIC STRATEGY

Martin Tesák1, MUDr. Petr Kala Ph.D1, prof. MUDr. Jindřich Špinar CSc., FESC, Zdeněk Monhart2
1 Interní kardiologická klinika FN a LF MU v Brně
2 Interní oddělení, Nemocnice Znojmo

We present a case of a woman affected by acute myocardial infarction (AMI) with coronarographically almost normal coronary arteries. Persistent atrial fibrillation preceded the episode of acute coronary syndrome. Transesophageal ultrasound investigation following coronarography confirmed left atrial appendage thrombus which evoked suspicion of coronary embolism as a cause of acute myocardial infarction. We discuss the role of transesophageal echocardiography for choice of therapeutic strategy in AMI patients with angiographically normal or almost normal coronary arteries.

Keywords: Key words: myocardial infarction, atrial fibrillation, echocardiography, transesophageal, thromboembolism, coronary thrombosis.

Published: February 1, 2007  Show citation

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Tesák M, Kala P, Špinar J, Monhart Z. ACUTE CORONARY SYNDROME WITH ANGIOGRAPHICALLY NORMAL CORONARY ARTERIES - THE ROLE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN DETERMINATION OF THERAPEUTIC STRATEGY. Interv Akut Kardiol. 2006;5(5):224-226.
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