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급성심근경색과 심장압전이 동반된 A형 대동맥 박리: 부검 증례

Type A Aortic Dissection with Concomitant Acute Myocardial Infarction and Cardiac Tamponade: An Autopsy Case

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초록

Aortic dissection is an uncommon, life-threatening medical emergency that is associated with a high mortality rate, and death from aortic dissection is mainly related to secondary complications, namely cardiac tamponade, severe aortic regurgitation, acute myocardial infarction, and abdominal organ vessel obstruction. Hence, prompt and accurate diagnosis followed by proper treatment is important for patient survival. Herein, we present a rare case of sudden death after aortic dissection with concomitant acute myocardial infarction and cardiac tamponade.

Abstract

Aortic dissection is an uncommon, life-threatening medical emergency that is associated with a high mortality rate, and death from aortic dissection is mainly related to secondary complications, namely cardiac tamponade, severe aortic regurgitation, acute myocardial infarction, and abdominal organ vessel obstruction. Hence, prompt and accurate diagnosis followed by proper treatment is important for patient survival. Herein, we present a rare case of sudden death after aortic dissection with concomitant acute myocardial infarction and cardiac tamponade.

참고문헌 (7)

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  2. 이한철, "대동맥 박리증의 분류에 따른 비중재적 및 중재적 치료", 대한내과학회지, 89(4), pp.389~397 (2015), 대한내과학회[DOI]
  3. Erbel R, "Diagnosis and management of aortic dissection", Eur Heart J, 22, pp.1642~1681 (2001)
  4. Biagini E, "Frequency, determinants, and clinical relevance of acute coronary syndrome-like electrocardiographic findings in patients with acute aortic syndrome", Am J Cardiol, 100, pp.1013~1019 (2007)
  5. Lee YJ, "A study for hemodynamic mechanism of myocardial infarction following aortic dissection", Korean J Leg Med, 21, pp.97~104 (1997)
  6. Neri E, "Proximal aortic dissection with coronary malperfusion: presentation, management, and outcome", J Thorac Cardiovasc Surg, 121, pp.552~560 (2001)
  7. 최창휴, "Acute Type A Aortic Dissection Initially Diagnosed with Myocardial Infarction", Journal of Chest Surgery, 45(6), pp.424~425 (2012), 대한심장혈관흉부외과학회

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