비후성 심근병증 환자에 동반한 완전 폐색을 보이는 심근교에 대한 스텐트 삽입술 후 10년간의 임상 경과
A Totally Occluded Long Segment Myocardial Bridge: 10-year Follow-up after Percutaneous Coronary Intervention in a Patient with Hypertrophic Cardiomyopathy
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초록
본 증례는 갑자기 악화된 흉통으로 내원한 환자에서 시행한 초음파에서 비후성 심근병증이 발견되어 이에 대한 약물치료를 하였으나 증상이 완화되지 않았고, 심근허혈이 의심되어 시행한 관상동맥조영술에서 긴 길이의 완전 폐색을 동반한 심근교가 관찰되어 혈관내 초음파 유도하 중재술을 시행하였던 예이다. 시술 후 증상은 호전되었고, 약물 치료하면서 10년간 좋은 임상 경과를 보여 보고하는 바이다.
Abstract
Intracoronary stent implantation can improve coronary hemodynamics and myocardial ischemia in patients with symptomatic bridging. However, percutaneous coronary intervention for this lesion is limited due to the high prevalence of restenosis and risk of complications. We present a case of a totally occluded long-segment myocardial bridge in a patient with hypertrophic cardiomyopathy who was successfully implanted with a bare metal stent under intravascular ultrasound guidance without complications. The patient has been free of ischemic symptoms with stent patency for 10 years.
참고문헌 (10)
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