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The Korean Journal of Medicine 2007;72(2): 191-195.
증례 : 관상동맥 확장증 환자에서 발생한 급성 심근 경색증 1예
신정훈, 김석환, 박진규, 손 원, 최치언, 정재윤, 김경수
한양대학교 의과대학 내과학교실
A case of acute myocardial infarction with coronary artery ectasia
Jeong Hun Shin, Seok Hwan Kim, Jin Kyu Park, Won Sohn, Chi Un Choi, Jae Yoon Jeong, Kyung Soo Kim
Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
Coronary artery ectasia is a rare coronary anomaly. A 47-year old man was transferred to our ER, presenting with an acute myocardial infarction. He was a smoker, but he had no history of other diseases. We performed thrombolysis treatment. After the patient was stable, coronary angiography was performed. Coronary angiography revealed an ectatic left circumflex artery and left anterior descending artery, and also a partial occlusion at the ectatic left circumflex coronary artery with a massive thrombus. Intravascular ultrasonography showed a partial obstructed thrombus in the ectatic left circumflex coronary artery, suggesting an abnormal coronary flow pattern, but there was no evidence of unstable plaque. Warfarin was administered to treat the ectatic coronary artery with the partial obstructed thrombus. (Korean J Med 72:S191-S195, 2007) Key Words : Coronary artery ectasia, Thrombolysis, Myocardial infarction
Keywords: Coronary artery ectasia, Thrombolysis, Myocardial infarction
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