Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Acute Myocardial Infarction after Embolic Occlusion of Left Anterior Descending Artery by Prosthetic Valve Thrombosis - Report of 1 case -

인공판막 혈전에 의한 좌전하행지 폐쇄 후 급성심근경색 -1예 보고-

  • 김재현 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 임달수 (부천세종병원 내과) ;
  • 오삼세 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 백만종 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 김종환 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 나찬영 (부천세종병원 흉부외과, 세종심장연구소)
  • Published : 2004.04.01
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Abstract

Acute myocardial infarction due to coronary occlusion by emboli originating from the prosthetic valve thrombosis is very rare but fatal disease which needs immediate diagnosis and urgent treatment. We report a case of acute myocardial infarction after left anterior descending embolic occlusion in whom had previous mitral valve replacement. Redo valve replacement following the interventional catheterization and anti platelet therapy lead to successful results.

인공판막 혈전에 의한 관상동맥 폐쇄 후 발생하는 급성심근경색은 드물지만 치명적인 질환으로 환자들의 생존율을 높이기 위해서는 빠른 진단과 적절한 치료가 중요하다 본원에서는 기계승모판막 혈전에 의한 좌전하행지의 폐쇄로 급성심근경색이 발생한 환자 1예에서 중재시술 및 항혈전요법 후 승모판 재치환술을 성공적으로 시행하였기에 증례 보고하는 바이다.

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References

  1. Ann Thorac Surg v.34 Thromboembolic complications of current cardiac valvular prostheses Edmunds,L.H. https://doi.org/10.1016/S0003-4975(10)60862-4
  2. Tex Heart Inst J v.29 Exercise testing indeces fatal thromboembolism Yavuzgil,O.;Ozerhan,F.;Gurgun,C,;Zoghi,M.;Can,L.;Akin,M.
  3. Cather Cardiovasc Diagn v.15 Unstable angina secondary to left main coronary thrombus extending from prosthetic aortic valve Jain,A.;Mazanek,G.J.;Armitage,J.M. https://doi.org/10.1002/ccd.1810150412
  4. Am J Cardiol v.50 Embolus to the left main coronary artery Waller,B.F.;Dixon,D.S.;Kim,R.W.;Roberts,W.C. https://doi.org/10.1016/0002-9149(82)90338-1
  5. Am J Cardiol v.48 Fatal cardiac arrest during cardiac catheterization for angina pectoris: analysis of 10 necropsy patients Cabin,H.S.;Roberts,W.C. https://doi.org/10.1016/0002-9149(81)90565-8
  6. Cardiovasc Med v.3 Coronary embolism: a review of causes, consequences, and diagnostic considerations Roberts,W.C.
  7. Acta Med Scand v.193 The mechanism of myocardial infarction following prosthetic aortic valve replacement Storstein,O.;Efskind,L.;Torgersen,O. https://doi.org/10.1111/j.0954-6820.1973.tb10545.x