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Jong Gwon Choi, Chang Gyu Park, Soon Jun Hong, Jin Won Kim, Seung Woon Rha, Hong Seog Seo, Dong Joo Oh |
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서울의대 내과 |
| 증례 : 이형협심증 환자에서 발견된 관상동맥의 동정맥 기형 1예 (Case Reports : A case of coronary arteriovenous malformation in variant angina patient) |
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최종권, 박창규, 홍순준, 김진원, 나승운, 서홍석, 오동주 |
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| Abstract |
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Coronary arteriovenous malformation (AVM) is a rare congenital coronary anomaly. We report a
60 year-old woman with variant angina and coronary AVM. She presented with recurrent chest pain
at rest but there were no significant cardiovascular risk factors. Baseline coronary angiography
showed the AVM which originated from first diagonal branch. Acetylcholine (Ach) provocation test
was performed at left anterior descending artery (LAD) to induce coronary spasm. Ach 50㎍ injection
induced severe diffuse spasm at LAD with typical chest pain.
We confirmed that this patient has variant angina with AV malformation.(Korean J Med
70:90-93, 2006)
Key Words : Coronary arteriovenous malformation, Variant angina |
| Key Words:
Coronary arteriovenous malformation, Variant angina |
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