Journal of Chest Surgery

  • 제31권1호
  • /
  • Pages.66-68
  • /
  • 1998
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

흉부 둔상에 의한 관상 동맥 박리 -1례 보고-

Coronary Artery Dissection Secondary to Blunt Chest Trauma - A Case Report-

  • 서강석 (경북대학교병원 응급의학과) ;
  • 조용근 (경북대학교병원 내과) ;
  • 이종태 (경북대학교병원 흉부외과)
  • 발행 : 1998.01.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

27세 남자 환자가 오토바이 사고로 인한 급성전벽 심근경색증으로 내원하였다. 흉부에 손상의 흔적은 없었으며 심초음파검사상 전벽의 이상운동증과 미미한 심낭삼출액이 보였다. 관상동맥조영술상 좌전하행지 근위부에 박리가 있었고, 좌심실조영술상 심첨부에 좌심실류 및 혈전이 관찰되어 관상동맥우회술을 시행하였다.

A 27-year-old male presented with an anterior myocardial infarction following blunt chest trauma sustained in motorcycle accident. On examination, there was no visible wound on the chest wall. Echocardiogram showed dyskinesia over anterior left ventricular wall. Subsequent coronary angiogram demonstrated dissection at the proximal portion of the left anterior descending coronary artery and left ventriculogram showed apical anerysm and thrombus. He was treated by coronary artery bypass graft.

키워드

참고문헌

  1. Br Heart J v.55 Myocardial infarction after blunt chest trauma incurred during rugby football that later required cardiac transplantation Watt AH;Stephens MR
  2. Eur Heart J v.14 Acute myocardial infarction following blunt chest trauma Fang BR;Li CT
  3. Angiology v.35 Acute anterior wall myocardial infarction secondary to blunt chest trauma Anto MJ;Cokins SG;Jonas E
  4. Chest no.93 Coronary disssection following chest trauma with systemic emboli Goulah RD;Rose MR;Strober M;Haft JI
  5. Angiology v.41 Acute anterior wall mypcardial infarction secondary to blunt chest trauma A case report Lee DW;Garnic JD;Barlow GC
  6. Korean J Intern Med v.6 A case of report-traumatic coronary occlusion Lee HY;Ju YM;Lee MH(et al.)
  7. Cathet Cardiovasc Diagn v.15 Coronary artery dissection secondary to blunt chest trauma Kohli S;Saperia GM;Waksmonski CA;Pezzella S;singh JB