The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Detection of a Left Main Coronary Aneurysm with a Thrombus Presenting as an Acute Myocardial Infarction by Coronary Computed Tomographic Angiography

관상동맥 전산화단층촬영으로 확진한 좌주간지 동맥류 혈전증에 의한 급성심근경색증

  • Park, Jong Kwan (Division of Cardiology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) ;
  • Yoon, Sejung (Division of Cardiology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) ;
  • Oh, Seung-Jin (Division of Cardiology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) ;
  • Jeon, Dong Woon (Division of Cardiology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) ;
  • Yang, Joo Young (Division of Cardiology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital)
  • 박종관 (국민건강보험공단 일산병원 심장내과) ;
  • 윤세정 (국민건강보험공단 일산병원 심장내과) ;
  • 오성진 (국민건강보험공단 일산병원 심장내과) ;
  • 전동운 (국민건강보험공단 일산병원 심장내과) ;
  • 양주영 (국민건강보험공단 일산병원 심장내과)
  • Received : 2013.02.25
  • Accepted : 2013.04.08
  • Published : 2014.02.01
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Abstract

Aneurysms of the left main coronary artery are very rare in patients with acute coronary syndrome. The increased accuracy of computed tomography permits the detection of coronary artery anatomic structures after one peripheral injection of contrast agent. We report a 42-year-old man with a left main coronary aneurysm, with a thrombus presenting as non-ST elevation myocardial infarction, detected by coronary computed tomographic angiography.

관상동맥류는 드물게 보고되는 질환이나 이로 인한 증상이 발생하였을 경우 빠른 진단 및 치료 방침의 결정은 매우 중요하다. 이에 본 저자들은 국내에서 매우 드문 좌주간지 관상동맥류 혈전증에 의한 비 ST분절 상승 심근경색증을 관상동맥 전산화단층촬영을 통해 정확하게 진단하고 성공적으로 치료하였기에 이를 보고하는 바이다.

Keywords

References

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