Article citationsMore >>

Kim K H, Jeong M H, Chung I J, Cho J G, Song T B, Park J C and Kang J C. A case of septic shock and disseminated intravascular coagulation complicated by acute myocardial infarction following amniocentesis. Korean J Intern Med. 2005; 20 (4): 325-9.

has been cited by the following article:

Article

Unexpected Acute Myocardial Infarction Due to Disseminated Intravascular Coagulation

1Department of Hematology Medicine, Tokyo Metropolitan Health and Medical Treatment Corporation, Tama-Hokubu Medical Center, Tokyo, Japan

2Department of Gastrointestinal Medicine, Tokyo Metropolitan Health and Medical Treatment Corporation, Tama-Hokubu Medical Center, Tokyo, Japan

3Department of Pathology, Tokyo Metropolitan Health and Medical Treatment Corporation, Tama-Hokubu Medical Center, Tokyo, Japan


American Journal of Medical Case Reports. 2015, Vol. 3 No. 2, 42-45
DOI: 10.12691/ajmcr-3-2-7
Copyright © 2015 Science and Education Publishing

Cite this paper:
Motoharu Shibusawa, Takaaki Matsumura, Hisashi Tsutsumi, Yuuji Itou, Yoshiaki Shibata. Unexpected Acute Myocardial Infarction Due to Disseminated Intravascular Coagulation. American Journal of Medical Case Reports. 2015; 3(2):42-45. doi: 10.12691/ajmcr-3-2-7.

Correspondence to: Motoharu  Shibusawa, Department of Hematology Medicine, Tokyo Metropolitan Health and Medical Treatment Corporation, Tama-Hokubu Medical Center, Tokyo, Japan. Email: m_sibusawa@hotmail.com

Abstract

An autopsy case of gastric cancer accompanied by disseminated intravascular coagulation (DIC) that resulted in unexpected acute myocardial infarction (AMI) is reported. A 66-year-old man was introduced to our hospital and was diagnosed with gastric cancer accompanied by bone marrow carcinomatosis with DIC. On the fourteenth day of admission, he experienced dyspnea. He died on the fifteenth day. An autopsy was performed. The autopsy findings revealed myocardial infarction from the lateral to anterior and posterior ventricular walls, thromboembolism in the right coronary artery, and nonbacterial thrombogenic carditis of the mitral valve. A diagnosis of AMI was made by the autopsy findings. In cases accompanied by DIC, thrombus may develop in coronary arteries, resulting in AMI. In these patients, the typical symptoms of AMI and ST-segment elevation and pathologic Q waves on electrocardiogram are often not observed. The importance of this phenomenon warrants consideration in clinical practice.

Keywords