DOI QR코드

DOI QR Code

Spontaneous coronary artery dissection by intravascular ultrasound in a patient with myocardial infarction

  • Jang, Ji Hun (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Dae Hyeok (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Yang, Dong Hyuk (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Woo, Seong Il (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Kwan, Jun (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Park, Keum Soo (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine) ;
  • Shin, Sung-Hee (Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine)
  • 투고 : 2012.07.10
  • 심사 : 2012.10.04
  • 발행 : 2014.01.01

초록

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. The incidence, causes, pathogenesis, and treatment have not been defined clearly, but spontaneous coronary artery dissection should be considered in young patients without major cardiovascular risk factors or in patients in the peripartum period who present with acute coronary syndrome. The treatment is often challenging. Medical treatment is usually considered, and percutaneous coronary intervention or coronary artery bypass surgery may be possible in some patients. We herein report two cases of middle-aged males with myocardial infarction who were treated with percutaneous coronary angioplasty.

키워드

참고문헌

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피인용 문헌

  1. Spontaneous coronary artery dissection, a commonly overlooked etiology of acute coronary syndrome vol.10, pp.4, 2014, https://doi.org/10.1080/20009666.2020.1781029
  2. The Imaging Toolbox to Assess Patients with Suspected Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease (MINOCA) vol.22, pp.11, 2014, https://doi.org/10.1007/s11886-020-01379-x