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좌주간지 혈전에 의해 순차적으로 발병된 전벽 및 측벽 급성 심근경색의 1예

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Affiliated Author(s)
허승호한성욱김기식김윤년김권배
Alternative Author(s)
Hur, Seung HoHan, Seong WookKim, Kee SikKim, Yoon NyunKim, Kwon Bae
Journal Title
대한내과학회지
ISSN
1226-329x
Issued Date
2004
Abstract
Plaque rupture is one of the main causes of acute myocardial infarction. Especially when the
thrombus is located in the left main trunk coronary artery, it can effect the left anterior descending
as well as circumflex coronary artery, resulting in myocardial necrosis of the anterior and lateral
wall. Usually acute myocardial infarction due to left main trunk coronary artery occlusion occurs
simultaneously in both anterior and lateral ST-segment elevation, associated with cardiogenic shock.
However, rarely does the region alter with time. We report a 59-year old male who had been
diagnosed with anterior wall acute myocardial infarction at a local hospital, but on transferral to our
hospital 4 hours later, was diagnosed with lateral wall acute myocardial infarction based on
electrocardiogram changes. Coronary angiography revealed a mobile, large thrombus on left main
trunk with TEVQ 3 flow. After heparinization for 5 days, follow-up coronary angiography revealed a
complete resolution of previous thrombus.(Korean J Med 67:311-316,2004)
Key Words : Thrombus,Coronary artery, Acute myocardial infarction
좌주간지의 관동맥내 혈전은 대개 전측벽 급성 심근
경색증과 함께 심인성 쇼크를 유발하나,시간 경과에 따
라 부위가 다르게 나타나는 경우는 드물다. 저자들은 좌
주간지의 관동맥내 진동하는 거대 혈전에 의해 전벽 심
근경색증 후 다시 측벽 심근경색증이 유발되었으며 헤
파린 정주치료 등의 보존적 요법 후 호전된 1예를 치험
하였기에 보고하는 바이다.
중심 단어 : 혈전,관동맥,급성 심근경색증
Alternative Title
Case Reports : A case of acute anterior and lateral myocardial infarction altering with time from a large intracoronary thrombus on left main trunk
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
이영수 et al. (2004). 좌주간지 혈전에 의해 순차적으로 발병된 전벽 및 측벽 급성 심근경색의 1예. 대한내과학회지, 67(3), 311–316.
Type
Article
ISSN
1226-329x
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37790
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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