Simultaneous thromboses of multiple coronary arteries in acute myocardial infarction

Tan IL, Tan HC, Teo SG, Lim YT
Correspondence: Dr Tan Huay Cheem, tanhc@nuh.com.sg

ABSTRACT
Simultaneous thrombotic occlusion of multiple coronary arteries in acute myocardial infarction is a well-recognised phenomenon. Studies have reported diffuse destabilisation of atherosclerotic plaques in patients with acute myocardial infarction, leading to the concept of "pan-coronaritis". The putative mechanism is attributed to a systemic thrombophilic and inflammatory state. We report the occurrence of this phenomenon in two middle-aged male patients.

Keywords: acute myocardial infarction, coronary thromboses, myocardial infarction, simultaneous coronary occlusion
Singapore Med J 2006; 47(3): 240-242