Vol 71, No 3 (2013)
Case studies
Published online: 2013-03-21

open access

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Acute myocardial infarction with simultaneous occlusions of two coronary arteries in a 44 year-old man

Przemysław Żurek, Marcin Dębiński, Wojciech Czerwiński, Marek Kondys, Paweł Buszman
Kardiol Pol 2013;71(3):279-282.

Abstract

Simultaneous thrombosis of multiple epicardial coronary arteries is an uncommon clinical finding in ST-segment elevation
myocardial infarction (STEMI). We describe a 44 year-old male present with STEMI who was found to have simultaneously
occluded two epicardial arteries. There is many clinical states that can lead to multiple thrombosis i.e. essential trombocytosis,
hiperhomocysteinaemia, depletion of antitrombin III, cocaine abuse etc. In this particular case L-arginin supplementation and
association with thrombosis or atherosclerosis progression is discussed.

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