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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 346:1562-1570 May 16, 2002 Number 20
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Case 15-2002 — A 53-Year-Old Man with a Myocardial Infarct and Thromboses after Coronary-Artery Bypass Grafting
William C. Aird, and Eugene J. Mark

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Presentation of Case

A 53-year-old man was admitted to the hospital because of a myocardial infarction.

The patient had been well until three months earlier, when he began to have increasingly severe exertional dyspnea, without chest pain. On the day of admission, he had been at work, lifting and transporting heavy objects, when a sensation of "heaviness" developed across his chest, accompanied by dyspnea. In an ambulance en route to this hospital, ventricular fibrillation was discovered, and a single shock resulted in reversion to a normal rhythm. An electrocardiogram obtained at the time of his arrival at this hospital showed elevated ST segments . . . [Full Text of this Article]

Differential Diagnosis

Differential Diagnosis of Thrombocytopenia

Differential Diagnosis of Diffuse Arterial Thrombi

Heparin-Induced Thrombocytopenia

Treatment of Heparin-Induced Thrombocytopenia

Clinical Diagnosis

Dr. William C. Aird's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References


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