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Thrombotic occlusion of all left coronary branches in a young woman with severe ulcerative colitis

Författare

Summary, in English

Background. The thrombosis risk is increased in active ulcerative colitis. The limited number of reported complications have

predominantly been cerebrovascular but other vessel territories may also be affected. Patient. During a severe attack of ulcerative

colitis a 37-year-old woman suffered occlusion of all left coronary artery branches. Serial angiographies showed progressive

recanalisation of the coronary arteries during anticoagulation, but no atherosclerotic stenosis. The cause of infarction was thus

considered to be an extensive coronary thrombosis. However, a large battery of blood tests failed to identify any procoagulant

abnormality. Conclusion. Evidence is now accumulating that the increased thrombosis risk also may involve the coronary arteries,

even in young patients. To the best of our knowledge this is the third reported case ofmyocardial infarction despite angiographically

normal coronary arteries in a patient with active ulcerative colitis. The extent of affected myocardiumwas in this case exceptionally

large.

Ämne

  • Public Health, Global Health, Social Medicine and Epidemiology

Status

Published

Forskningsgrupp

  • Community Medicine
  • Clinical Coagulation, Malmö