International Heart Journal
Online ISSN : 1349-3299
Print ISSN : 1349-2365
ISSN-L : 1349-2365
Case Reports
Pure Ventricular Septal Myocardial Infarction in a Young Man With Coronary Artery Ectasia
Shigemasa Tani, Ikuyoshi Watanabe, Ken Nagao, Takeo Anazawa, Hirofumi Kawamata, Eizo Tachibana, Kana Nomoto, Takamichi Kumabe, Naoya Matsumoto, Yuichi Sato, Katsuo Kanmatsuse, Toshio Kushiro
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Keywords: Coronary artery ectasia, Coronary vasospasm, Pure septal infarction
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2006 Volume 47 Issue 1 Pages 131-137

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Abstract
The case of a 30-year-old man with myocardial infarction localized in the interventricular septum is described. Coronary angiography performed on day 28 after the onset of symptoms revealed ectasia in the right and left coronary arteries, but no overt stenotic or occlusive lesions were present. Spasm was induced in the first septal branch of the left anterior descending artery by an acetylcholine provocation test, and single photon emission computed tomography myocardial perfusion imaging showed a reduced thallium-201 uptake localized in the interventricular septum.
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© 2006 by the International Heart Journal Association
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