Clinical case of successful treatment of non-coronary myocardial infarction in a young patient due to acute coronary thrombosis, complicated by dissection of the coronary artery

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Abstract

A clinical case of non-coronarogenic myocardial infarction in a 22-year-old patient with a congenital multifactorial disorder in the hemostasis system associated with the pathology of fibrinolysis and methionine metabolism is presented. A mutation of the gene - inhibitor of plasminogen activator PAI-1 (homozygous type) was detected, which could contribute to pathological thrombosis. Cardiac surgery (aspiration thrombembolectomy, direct stenting of the anterior interventricular branch of the left coronary artery) restored coronary blood flow and on the 20th day the patient was transferred to rehabilitation in a satisfactory condition.

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Copyright (c) 2019 Novoselova N.M., Osadchii I.A., Ostrovskii M.B., Solovei N.A., Shiyanov O.V.



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