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증례 : 순환기 ; 전벽 심근 경색의 일차 관상동맥 시술 중 연속된 하벽 심근 경색
박병원 ( Byoung Won Park ),서대철 ( Dae Chul Seo ),함남석 ( Nam Seok Ham ),박정완 ( Jung Wan Park ),정진욱 ( Jin Wook Chung ),방덕원 ( Duk Won Bang ),현민수 ( Min Su Hyon ) 대한내과학회 2014 대한내과학회지 Vol.87 No.3
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. (Korean J Med 2014;87:334-337)
증례 : 순환기 ; 대동맥 박리에 의한 비정형적 ST분절 상승 심근경색 1예
박병원 ( Byoung Won Park ),서대철 ( Dae Chul Seo ),문인기 ( In Ki Moon ),정진욱 ( Jin Wook Chung ),방덕원 ( Duk Won Bang ),현민수 ( Min Su Hyon ),장원호 ( Won Ho Chang ) 대한내과학회 2013 대한내과학회지 Vol.85 No.5
가슴 통증을 호소한 환자가 심전도에서 ST분절 상승과 비정형적인 관상동맥 폐쇄를 보여 ST분절 상승 심근경색으로 관상동맥 재개통술 시행하였고 이후 퇴원하였으나 가슴 통증이 악화되어 재입원하여 대동맥 박리에 의한 심근경색이 진단되었으며 수술적으로 대동맥 박리를 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. ST-elevation myocardial infarction (STEMI) caused by an acute aortic dissection is relatively rare. A diagnosis of dissection can be missed and the situation can become complicated. We report a patient who presented with acute aortic dissection responsible for STEMI related to a dissecting flap into the right coronary artery. This case emphasizes the need for careful assessment of the aorta in cases of atypical coronary occlusion in patients with STEMI without evidence of atherosclerosis in non-culprit coronary segments. The patient was discharged 7 days after primary percutaneous intervention for STEMI. However, she revisited the emergency department for recurrent chest pain and aortic dissection and was diagnosed and managed successfully with surgery.. (Korean J Med 2013;85:516-520)
신생아에 심한 심부전증을 일으킨 선천성 뇌동정맥 기형: 풍선 색전 요법을 시도한 1례
박인숙,김영휘,홍창의,조영국,서대철,박영일 울산대학교 의과대학 1993 울산의대학술지 Vol.2 No.2
Cerebral arteriovenous malformation is a rare cause of congestive heart failure in neonates and is known to carry a very poor prognosis even wish prompt recognition and aggressive treatment. We recently encountered a 2-day-old male neonate with huge cerebral arteriovenous malformation who presented with intractable heart failure. Despite aggressive medical treatment and partial embolization with detachable balloon, baby died of severe hearts failure. Since there is no report of percutaneous balloon embolization in a neonate with this lesion in Korean literature, we wish to present our experience in one such neonate. Also we believe this is the first report of color Doppler findings in cerebral arteriovenous malformation in Korean literature.