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Korean J Med > Volume 87(3); 2014 > Article
The Korean Journal of Medicine 2014;87(3): 334-337.
전벽 심근 경색의 일차 관상동맥 시술 중 연속된 하벽 심근 경색
박병원, 서대철, 함남석, 박정완, 정진욱, 방덕원, 현민수
순천향대학교 의과대학 내과학교실 심장내과
Consecutive Multivessel Myocardial Infarction during Primary Percutaneous Coronary Intervention
Byoung-Won Park, Dae-Chul Seo, Nam-Seok Ham, Jung-Wan Park, Jin-Wook Chung, Duk-Won Bang, Min-Su Hyon
Division of Cardiology, Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea
Corresponding Author: Jin-Wook Chung ,Tel: +82-2-709-9345, Fax: +82-2-709-9083, Email: jjw25@schmc.ac.kr
Received: 2013. 8. 23;  Accepted: 2013. 9. 24.
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
ST-elevation myocardial infarction (STEMI) involving multivessel coronary arteries is extremely rare. Consecutive STEMI in a nonculprit vessel during primary percutaneous coronary intervention (PCI) of the culprit vessel has not been reported. A 53-year-old male presented to the emergency department with anterior wall STEMI. Just after successful primary PCI of the left anterior descending artery, inferior wall STEMI developed. PCI of the right coronary arteries was performed successfully. Five days later, the patient was discharged without symptoms of heart failure. This case underlines the high thrombogenicity along the coronary arteries in patients with STEMI.
Keywords: Multivessel; ST-elevation myocardial infarction; Percutaneous coronary intervention; Glycoprotein IIb-IIIa
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