Korean Circ J.  2003 Nov;33(11):1048-1052. 10.4070/kcj.2003.33.11.1048.

A Case of Thrombotic Thrombocytopenic Purpura Associated with Acute Myocardial Infarction

• Lee TH
• Kim JH
• Kim WJ
• Park JY
• Kang HS
• Choue CW
• Kim KS
• Song JS
• Bae JH

• KMID: 2145616
• DOI: http://doi.org/10.4070/kcj.2003.33.11.1048

Abstract

Thrombotic thrombocytopenic purpura (TTP) is an unusual syndrome characterized by a clinical picture of micro-angiopathic hemolytic anemia, thrombocytopenic purpura, neurologic symptoms, renal disease and fever. Although widespread vascular thrombosis is common in TTP, the evidence of cardiac involvement is less clear. We report the first Korean case of a 22-year-old woman with TTP associated with acute myocardial infarction. With continued plasmapheresis, the clinical status of TTP improved markedly and was stabilized. Serial echocardiograms showed improvement of the cardiac wall motion.

Keyword

Thrombotic thrombocytopenic purpura; Acute myocardial infarction; Plasmapheresis

MeSH Terms

Anemia, Hemolytic
Female
Fever
Humans
Myocardial Infarction*
Neurologic Manifestations
Plasmapheresis
Purpura, Thrombocytopenic
Purpura, Thrombotic Thrombocytopenic*
Thrombosis
Young Adult