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Case Reports
. 2014 Nov 24:2014:bcr2014205430.
doi: 10.1136/bcr-2014-205430.

The mystery of recurrent idiopathic cerebrovascular and coronary arterial thrombosis

Ali Raza Rajani  1 , Wael Ezzat Mahmoud  1 , Vagishwari Murugesan  1 , Azan Salem BinBrek  1
Affiliations
Case Reports

The mystery of recurrent idiopathic cerebrovascular and coronary arterial thrombosis

Ali Raza Rajani et al. BMJ Case Rep. .

Abstract

A 46-year-old man presented to our hospital with ST elevation myocardial infarction (STEMI). Previous records revealed a history of recurrent non-STEMI, stroke and transient ischaemic attacks. He was thoroughly investigated with coronary angiography, a cerebral CT angiography, thrombophilia panel and autoimmune screening tests, all of which proved negative. His current episode of STEMI resulted while on dual antiplatelet therapy; the patient was investigated for P2Y12 receptor resistance, which was also negative. A diagnosis of idiopathic recurrent arterial thrombosis was established and the patient was discharged home on aspirin and warfarin. Routine follow-up has revealed no recurrence of symptoms.

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Figures

Figure 1
Figure 1
ECG at the time of admission showing ST elevation.
Figure 2
Figure 2
Coronary angiography showing normal left coronary system.
Figure 3
Figure 3
Coronary angiography showing normal right coronary artery.
Figure 4
Figure 4
CT of the brain showing cerebellar infarction.
See this image and copyright information in PMC

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