Korean Circ J.  1997 Dec;27(12):1361-1361. 10.4070/kcj.1997.27.12.1361.

A Case Report of Acute Myocardial Infarction in a Patient with Servere Aortic Stenosis and Normal Coronary Arteries

• Park CG
• Oh DJ
• Seo HS
• Kim YJ
• Lee SJ
• Lee EM
• Ahn JC
• Song WH
• Lim DS
• Shim WJ
• Ro YM

• KMID: 1894778
• DOI: http://doi.org/10.4070/kcj.1997.27.12.1361

Abstract

The incidence of angina pectoris(AP) in patients with severe aortic stenosis(AS) and normal coronary arteries has been reported to be 30 to 40%. The pathophysiologic mechanism suggests marked decrease in coronary rederve with left ventricular hypertrophy secondary AS and mismatched oxygen demand-supply by valvular pressure gradient, but only 1 case of acute myocardial infarction(AMI) was reported in severe AS and normal coronary arteries as far as we are concerned. We report a case of AMI occuring in a patient with severe AS and left ventricular hypertrophy. A coronary angiogram excluded coronary obstruction and spasm as the cause of AMI in this patient.

Keyword

Aortic stenosis; Normal coronary artery; Acute myocardial infarction

MeSH Terms

Aortic Valve Stenosis*
Coronary Vessels*
Humans
Hypertrophy, Left Ventricular
Incidence
Myocardial Infarction*
Oxygen
Spasm
Oxygen