J Cardiovasc Ultrasound.  2008 Sep;16(3):96-98. 10.4250/jcu.2008.16.3.96.

A Case of Apical Hypertrophic Cardiomyopathy Combined Acute Myocardial Infarction with Multiple Coronary Thrombosis

• Jung KT
• Park SC
• Choi YJ
• Lee S
• Lee KJ
• Kim JH
• Yoon HS

• KMID: 1486587
• DOI: http://doi.org/10.4250/jcu.2008.16.3.96

Abstract

We report a case of apical hypertrophic cardiomyopathy combined with acute myocardial infarction and multiple coronary thrombosis. The patient presented with signs and symptoms of acute myocardial infarction, showing ST elevation in the lateral leads and ST depression in anterior chest leads on initial electrocardiogram. The coronary angiogram on admission, multiple thrombosis of distal left anterior descending artery, left circumflex, diagonal and obtuse marginal arteries were found. The present case shows that apical hypertrophic cardiomyopathy can be combined with acute myocardial infarction and multiple coronary thrombosis.

Keyword

Apical hypertrophic cardiomyopathy; Acute myocardial infarction; Coronary thrombosis

MeSH Terms

Arteries
Cardiomyopathy, Hypertrophic
Coronary Thrombosis
Depression
Electrocardiography
Humans
Myocardial Infarction
Thorax
Thrombosis

Figure

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  Fig. 1 The electrocardiogram on admission showed ST elevations in the lateral leads and ST depression in anterior chest leads.

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  Fig. 2 Trans-thoracic echocadiography on admission reveals spade-shaped configuration of left ventricle and hypokinetic motion of anterior, septum and apical walls (A and B). Apical short axis view shows markedly increased apical wall thickness (C).

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  Fig. 3 The coronary arteriogram reveals distal total obstruction with thrombi of the left anterior descending, its diagonal branch, left circumflex, and its obtuse marginal arteries. In addition, coronary artery flow shows delayed distal vessel opacification (A and B, arrows).

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