경식도 심초음파로 진단된 좌우 관상동맥 기시부를 모두 침범한 급성 대동맥 박리 1예
A Case of Acute Aortic Dissection Involved Left and Right Coronary Arterial Ostia diagnosed with Transesophageal Echocardiography
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저자들은 기시부 대동맥 박리가 좌우 관상동맥을 모두 폐쇄시켜 급성 심근경색증을 유발한 1예를 경식도 심초음파를 이용하여 진단하였다.
Abstract
Aortic dissection is the most common fatal condition that involves the aorta. Occasionally, symptoms mimic acute myocardial infarction leading to thrombolytic treatment which may have lethal consequences in aortic dissection. Thus, accurate diagnosis in patients with chest pain is therefore essential. We present a case of acute myocardial infarction which resulted from the acute aortic dissection with obstruction of the left and right coronary ostia by intimal flap. Transesophageal echocardiography was used as the diagnostic tool.