Cited 18 times in
Acute myocardial infarction caused by coronary artery dissection following blunt chest trauma
DC Field | Value | Language |
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dc.contributor.author | 권혁문 | - |
dc.contributor.author | 홍범기 | - |
dc.date.accessioned | 2018-11-23T10:53:00Z | - |
dc.date.available | 2018-11-23T10:53:00Z | - |
dc.date.issued | 2003 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/165775 | - |
dc.description.abstract | Chest trauma can lead to various cardiac complications ranging from simple arrhythmias to myocardial rupture. An acute myocardial infarction (AMI) is a rare complication that can occur after chest trauma. We report a case of 66-year-old male who suffered a blunt chest trauma from a traffic accident resulting in an AMI. The coronary angiography revealed an eccentric 50% narrowing of the ostium of left anterior descending artery (LAD) by a dissection flap with calcification. Intravascular ultrasonography (IVUS) revealed eccentric calcified plaque (minimal luminal diameter [MLD]=3.5 mm) with a dissection flap. Intervention was not performed considering the MLD and calcified flap, and he has been conservatively managed with aspirin and losartan for 2 years. The follow-up coronary angiography showed an insignificant luminal narrowing of the proximal LAD from the ostium without evidence of a dissection. An early coronary evaluation including an IVUS study should be considered for managing patients who complain of ongoing, deep-seated chest pain with elevated cardiac enzyme levels and an abnormal electrocardiogram (ECG) after a blunt chest trauma. Based on this case, some limited cases of traumatic coronary artery dissections can be healed with conservative management and result in a good prognosis. | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Yonsei University | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Acute myocardial infarction caused by coronary artery dissection following blunt chest trauma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Se Jung Yoon | - |
dc.contributor.googleauthor | Hyuck Moon Kwon | - |
dc.contributor.googleauthor | Dong Soo Kim | - |
dc.contributor.googleauthor | Bum Kee Hong | - |
dc.contributor.googleauthor | Dong Yeon Kim | - |
dc.contributor.googleauthor | Yun Hyeong Cho | - |
dc.contributor.googleauthor | Byung Seung Kang | - |
dc.contributor.googleauthor | Hyun Seung Kim | - |
dc.identifier.doi | 10.3349/ymj.2003.44.4.736 | - |
dc.contributor.localId | A00260 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 12950135 | - |
dc.contributor.alternativeName | Kwon, Hyuck Moon ::Kwon, Hyuck Moon ::Kwon, Hyuck Moon ::Kwon, Hyuck Moon | - |
dc.contributor.affiliatedAuthor | 권혁문 | - |
dc.citation.volume | 44 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 736 | - |
dc.citation.endPage | 739 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.44(4) : 736-739, 2003 | - |
dc.identifier.rimsid | 60355 | - |
dc.type.rims | ART | - |
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