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Ann Thorac Surg 2011;92:e43-e45. doi:10.1016/j.athoracsur.2011.03.135
© 2011 The Society of Thoracic Surgeons
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Yoshihiro Shimizu
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Right arrow Myocardial infarction

Case Reports

Successful Treatment of Myocardial Infarction by Aortic Sinus Thrombosis

Takahiro Tamura, MD, Hiroto Iwasaki, MD*, Takeshi Ikuta, MD, Hirofumi Fujii, MD, Hiroko Okuda, MD, Shinsuke Nishimura, MD, Yoshihiro Shimizu, MD

Department of Cardiovascular Surgery, Ishikiriseiki Hospital, Higashiosaka, Japan

Accepted for publication March 25, 2011.

* Address correspondence to Dr Iwasaki, Department of Cardiovascular Surgery, Ishikiriseiki Hospital, 18-28 Yayoi-cho, Higashiosaka, Osaka 579-8026, Japan (Email: h-iwasaki{at}ishikiriseiki.or.jp).

This case report concerns a 59-year-old man with acute myocardial infarction associated with a giant organized thrombus occupying the right sinus of Valsalva that developed into chest pain and bradycardia. Magnetic resonance imaging showed low intensity in both T1-weighted and T2-weighted images, indicating that the mass was a thrombus. A direct approach involving grafting effectively resolved the embolization and myocardial ischemia, even during the subacute period.




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