Korean J Med > Volume 86(2); 2014 > Article
The Korean Journal of Medicine 2014;86(2):224-227.
Published online February 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.2.224   
Detection of a Left Main Coronary Aneurysm with a Thrombus Presenting as an Acute Myocardial Infarction by Coronary Computed Tomographic Angiography
Jong Kwan Park, Sejung Yoon, Seung-Jin Oh, Dong Woon Jeon, Joo Young Yang
Division of Cardiology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea
관상동맥 전산화단층촬영으로 확진한 좌주간지 동맥류 혈전증에 의한 급성심근경색증
박종관, 윤세정, 오성진, 전동운, 양주영
국민건강보험공단 일산병원 심장내과
Correspondence: 
Joo Young Yang, Tel: +82-31-900-0242, Fax: +82-31-900-0343, Email: jooyy11@gmail.com
Received: 25 February 2013   • Revised: 3 April 2013   • Accepted: 8 April 2013
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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. (Korean J Med 2014;86:224-227)
Key Words: Coronary aneurysm; Thrombosis; Acute myocardial infarction; Computed tomography; Coronary angiography
주제어: 관상동맥류; 혈전증; 급성심근경색증; 전산화 단층촬영; 관상동맥조영술


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