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Case Report
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Korean J Med. 2014;87(3):334-337. Published online September 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.3.334
- 전벽 심근 경색의 일차 관상동맥 시술 중 연속된 하벽 심근 경색
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박병원, 서대철, 함남석, 박정완, 정진욱, 방덕원, 현민수
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순천향대학교 의과대학 내과학교실 심장내과
- Consecutive Multivessel Myocardial Infarction during Primary Percutaneous Coronary Intervention
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Byoung-Won Park, Dae-Chul Seo, Nam-Seok Ham, Jung-Wan Park, Jin-Wook Chung, Duk-Won Bang, Min-Su Hyon
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Division of Cardiology, Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea
- Corresponding author: Jin-Wook Chung ,Tel: +82-2-709-9345, Fax: +82-2-709-9083, Email: jjw25@schmc.ac.kr
- Received: August 23, 2013; Revised: September 5, 2013 Accepted: September 24, 2013.
- 가슴 통증을 호소한 환자가 전벽 ST분절 상승 심근경색으로 좌전하행지의 일차 관상동맥 재개통술 시행하였고 직후 하벽 ST분절 상승 심근경색이 연속적으로 발생하여 우관상동맥 재개통술을 성공적으로 시행한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 이는 ST분절 상승 심근경색 환자에서 비원인 관상동맥 병변을 치료하는 것도 세심한 주의가 필요함을 말해주고 있다.
߽ɾ :다혈관; ST분절 상승 심근경색; 경피적 관상동맥 중재술; Glycoprotein IIb-IIIa
- Abstract
- 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.
Keywords :Multivessel, ST-elevation myocardial infarction, Percutaneous coronary intervention, Glycoprotein IIb-IIIa
