Acute ST-segment elevation myocardial infarction as the first manifestation of essential thrombocytosis successfully treated with thrombectomy alone

Cardiovasc Interv Ther. 2016 Oct;31(4):275-8. doi: 10.1007/s12928-015-0347-z. Epub 2015 Aug 22.

Abstract

A patient with no conventional cardiovascular risk factors presented with inferior ST-elevation myocardial infarction which was finally diagnosed as a case of essential thrombocytosis. This case demonstrated that thrombectomy alone was sufficient for the treatment of his coronary occlusion. Furthermore, this case report highlights the importance of evaluating rare causes of myocardial infarction other than atherosclerosis and that internists and cardiologists should be aware of essential thrombocytosis as a known cause of myocardial infarction, particularly in patients with no underlying cardiovascular risk factors.

Keywords: Acute coronary syndrome; Angioplasty; Myelodysplastic syndrome; Myeloproliferative disorder; Myocardial infarction; Percutaneous coronary intervention; Thrombectomy; Thrombocytosis.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Coronary Angiography
  • Electrocardiography*
  • Humans
  • Male
  • ST Elevation Myocardial Infarction / diagnosis
  • ST Elevation Myocardial Infarction / etiology*
  • ST Elevation Myocardial Infarction / surgery
  • Thrombectomy / methods*
  • Thrombocytosis / complications*