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August 27, 1973

Angiographic Evidence of Flush Coronary Occlusion

Author Affiliations

From the Section of Cardiology and the Cardiovascular-Pulmonary Division, Hospital of the University of Pennsylvania, and the Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia.

JAMA. 1973;225(9):1111-1112. doi:10.1001/jama.1973.03220370049014

Serial coronary angiograms of a patient before and after an inferior wall myocardial infarction document a flush occlusion of a posterolateral arterial branch of the right coronary artery. The case illustrates that one-time angiography may fail to demonstrate complete occlusion and loss of a branch coronary artery. This sequence of events may explain the apparently normal coronary arteriograms in patients with documented inferior myocardial infarctions.