Acute Myocardial Infarction with Severe ST Segment Elevation Treated with Percutaneous Coronary Intervention More than Two Days after Onset: A Case with Remarkable Recovery

Michiyoshi Sone; Eiji Tamiya; Masahiro Sesoko; Tomosato Takabe; Akiko Koizumi; Yoshio Doi; Tatsuji Kanoh; Isao Ebihara; Hikaru Koide; Iwao Okai; Haruyo Yamashita; Seigen I.; Shinya Okazaki; Eiryu Sai; Hiroyuki Daida

doi:10.1055/s-0031-1279680

International Journal of Angiology, Table of Contents

Int J Angiol 2011; 20(2): 103-106
DOI: 10.1055/s-0031-1279680

CASE REPORT

Acute Myocardial Infarction with Severe ST Segment Elevation Treated with Percutaneous Coronary Intervention More than Two Days after Onset: A Case with Remarkable Recovery

Michiyoshi Sone¹ , Eiji Tamiya¹ , Masahiro Sesoko¹ , Tomosato Takabe¹ , Akiko Koizumi¹ , Yoshio Doi¹ , Tatsuji Kanoh¹ , Isao Ebihara² , Hikaru Koide² , Iwao Okai³ , Haruyo Yamashita³ , Seigen I.³ , Shinya Okazaki³ , Eiryu Sai⁴ , Hiroyuki Daida⁴

¹Department of Cardiology, Koto Hospital, Tokyo, Japan
²Department of Internal Medicine, Koto Hospital, Tokyo, Japan
³Department of Cardiology, Juntendo University Nerima Hospital, Tokyo, Japan
⁴Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan

Abstract

ABSTRACT

The patient was a 65-year-old man with marked ST-elevation myocardial infarction. Cardiac catheterization revealed an occluded middle portion of the left anterior descending artery and no collateral circulation. Percutaneous coronary intervention (PCI) was performed, and ST elevation improved 5 days after PCI. Almost all electrocardiogram (ECG) findings were normal 6 months later. Echocardiographic findings were also normal. This case was very successful and unusual in that no ventricular aneurysm formed despite ST elevation continuing for a few days and that ECG and left ventricular function were nearly normal after PCI performed days after the onset in a case without collateral circulation.

KEYWORDS

ST segment elevation myocardial infarction - percutaneous coronary intervention - infarct size

Full Text

References

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Michiyoshi SoneM.D.

Department of Cardiology, Koto Hospital

6-8-5 Ojima Koto-ku, Tokyo 136-0072, Japan

Email: kmws862170@yahoo.co.jp