흉부둔상 후 관상동맥 박리에 의해 유발된 급성심근경색증 1예
A Case of Coronary Artery Dissection after Blunt Chest Trauma Presented as Acute Myocardial Infarction
2
조회
0
다운로드
0
인용
0
참고문헌
초록
저자들은 교통사고후 심근경색으로 진단된 환자에서 관상동맥 조영술과 혈관내 초음파 영상을 통해 확인된 관상동맥 박리 환자를 스텐트 삽입술로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Coronary artery dissection after blunt chest trauma is very rare conditon, and this can result in a serious acute myocardial infarction. We report a case of a 54-year old male who was presented with an anterior myocardial infarction after traffic accident, with steering wheel injury. His coronary angiography revealed a discrete eccentric 85% stenosis of proximal left anterior descending coronary artery with dissection and intravascular ultrasound showed a dissecting flap from the distal left main coronary artery to proximal left anterior descending coronary artery. He was successfully treated by percutaneous transluminal coronary angioplasty with stent.