Acquired Coronary Angiogenesis after Myocardial Infarction
Nicolas W. Shammas, Arthur J. Moss, Thompson Sullebarger, Oscar H. Gutierrez, Thomas A. Rocco
Abstract
Nicolas W. Shammas, Arthur J. Moss, Thompson Sullebarger, Oscar H. Gutierrez, Thomas A. Rocco
Abstract
Acquired coronary artery microvascular fistulas have been reported in only a few patients after myocardial infarction. We describe 1 patient in whom serial coronary angiography demonstrated the development of coronary angiogenesis at the site of an old myocardial infarction. The area of neovascularity was associated with a large apical left ventricular thrombus. This finding suggests that growth-promoting mitogens are present in myocardium and thrombus and that angiogenesis occurs in some patients following myocardial infarction.
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Acquired coronary artery microvascular fistulas have been reported in only a few patients after myocardial infarction. We describe 1 patient in whom serial coronary angiography demonstrated the development of coronary angiogenesis at the site of an old myocardial infarction. The area of neovascularity was associated with a large apical left ventricular thrombus. This finding suggests that growth-promoting mitogens are present in myocardium and thrombus and that angiogenesis occurs in some patients following myocardial infarction.
Key concepts: Medicine, Myocardial infarction, Cardiology, Angiogenesis, Thrombus, Internal medicine, Artery, Infarction