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증례 : 순환기 ; 급성 심근경색 및 심장 내 혈전증이 동반된 베체트병 1예
허순미 ( Soon Mi Hur ),조윤희 ( Youn Hee Cho ),하태훈 ( Tae Hoon Ha ),서혜선 ( Hye Sun Seo ),전찬홍 ( Chan Hong Jeon ),김동훈 ( Dong Hun Kim ),서존 ( Jon Suh ) 대한내과학회 2012 대한내과학회지 Vol.82 No.3
A 36-year-old man with a history of Behcet`s syndrome and vascular complications visited the emergency room due to sudden chest pain and dyspnea. He had no coronary risk factors. Electrocardiography showed ST elevations in multiple precordial leads. Echocardiography showed akinesia of the anterior wall, interventricular septum, and apex, with a movable round mass measuring 1.4×1.5 cm in the right atrium. Cardiac computed tomography (CT) suggested the presence of a thrombus in the coronary sinus protruding into the right atrium. Coronary angiography revealed total occlusion with thrombi in the proximal left anterior descending coronary artery. Thrombectomy and stent insertion were performed. After the procedure, the patient was prescribed warfarin. Follow-up CT indicated the disappearance of the thrombi originating from the coronary sinus. (Korean J Med 2012;82:347-351)