Myocardial infarction and coronary thrombosis. (Images in Cardiology).(Brief Article)

A 37 year old woman was admitted because of acute non-ST segment elevation myocardial infarction. Treatment with nitrates, [beta] blocker, aspirin, and heparin was initiated. The next day her EGG revealed new Q waves with a negative T wave in lead II, III, and aVF (inferior wall infarction); blood chemistry was also clearly indicative of myocardial infarction (creatinine phosphokinase 2800 U/L, myocardial bound fraction 447 U/litre). Because of recurrent chest pain coronary angiography was performed, which showed a proximal occlusion of the right coronary artery; the left coronary artery was normal. In the ascending aorta a free floating tumour was identified, which could have …