The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Coronary Artery Dissection after Blunt Chest Trauma Resulting in ST-Segment Elevation Myocardial Infarction

흉부 둔상 후 발생한 관상동맥 박리에 의한 ST 분절 상승 심근경색 1예

  • Han, Jung Yeon (Department of Internal Medicine, College of Medicine, Chosun University) ;
  • Choi, Dong Hyun (Department of Internal Medicine, College of Medicine, Chosun University) ;
  • Chung, Joong Wha (Department of Internal Medicine, College of Medicine, Chosun University) ;
  • Koh, Young Youp (Department of Internal Medicine, College of Medicine, Chosun University) ;
  • Chang, Kyung Sik (Department of Internal Medicine, College of Medicine, Chosun University) ;
  • Hong, Soon Pyo (Department of Internal Medicine, College of Medicine, Chosun University)
  • 한정연 (조선대학교 의과대학 내과학교실) ;
  • 최동현 (조선대학교 의과대학 내과학교실) ;
  • 정중화 (조선대학교 의과대학 내과학교실) ;
  • 고영엽 (조선대학교 의과대학 내과학교실) ;
  • 장경식 (조선대학교 의과대학 내과학교실) ;
  • 홍순표 (조선대학교 의과대학 내과학교실)
  • Received : 2012.06.07
  • Accepted : 2012.09.24
  • Published : 2013.06.01
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Abstract

Coronary artery injury after thoracic injury is very rare, but can result in serious acute myocardial infarction (MI). It can be easily mistaken for chest wall pain or cardiac contusion if relying solely on a history and physical examination. We herein report a rare case of a 60-year-old female patient who presented with inferior wall ST-segment elevation MI due to right coronary artery dissection following blunt chest trauma after a traffic accident. Successful primary percutaneous coronary intervention was performed without complications.

흉부 둔상으로 인한 관상동맥 손상은 드물지만 심각한 합병증인 심근경색으로 발전할 수 있다. 또한 흉통이 흉벽의 통증으로 오인되어 진단이 지연되는 경우가 있다. 저자들은 교통사고로 인한 흉부 둔상 후 보존적 치료 중에 관동맥 내막 박리가 발생하였고, 이로 인한 ST 분절 상승 심근경색 발생하여 성공적인 일차적 중재술을 통해 치료한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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