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Case Report
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Korean J Med. 2014;86(6):744-748. Published online June 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.6.744
- 심장 점액종과 동반된 다발성 방추형 뇌 동맥류 및 관상동맥류 증례보고
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최기홍, 장성아, 김지훈, 이지영, 이지윤, 임성희, 김덕경
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성균관대학교 의과대학 삼성서울병원 내과
- Multiple Cerebral Fusiform Aneurysms and Coronary Aneurysm in a Patient with Cardiac Myxoma
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Ki Hong Choi, Sung-A Chang, Jihoon Kim, Ji Young Lee, Ji Yun Lee, Sung Hee Lim, Duk Kyung Kim
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Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- Corresponding author: Sung-A Chang ,Tel: +82-2-3410-3419, Fax: +82-2-3410-3849, Email: elisabet.chang@gmail.com
- Received: March 5, 2013; Revised: June 18, 2013 Accepted: August 5, 2013.
- 저자들은 우연히 발견된 심장 점액종 환자에서 증상 없이 뇌동맥류 및 관상동맥류, 무증상 심근경색을 동시에 진단하고 심장 내 종양 제거술을 시행하였다. 이에 문헌고찰과 함께 보고하는 바이다.
߽ɾ :심장점액종; 뇌동맥류; 관상동맥류
- Abstract
- Cardiac myxoma is the most common primary tumor of the heart and development of a cerebral aneurysm is rare in cardiac myxoma patients. We present the case of a 57-year-old asymptomatic male with multiple aneurysms in the cerebral and coronary arteries complicated by cardiac myxoma. Multiple cerebral aneurysms were fusiform shaped and located in the right middle cerebral artery, right anterior cerebral artery, right anterior choroidal artery, and left anterior cerebral artery. A coronary artery aneurysm was also located in the distal left circumflex artery with subendocardial myocardial infarction seen by cardiac magnetic resonance imaging (MRI). The cardiac myxoma was surgically removed and 1 month after surgical resection, there was no progression of the aneurysms on follow-up brain MRI. (Korean J Med 2014;86:744-748)
Keywords :Myxoma, Intracranial aneurysm, Coronary artery aneurysm
