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Acute myocardial infarction caused by coronary artery dissection following blunt chest trauma

DC Field Value Language
dc.contributor.author권혁문-
dc.contributor.author홍범기-
dc.date.accessioned2018-11-23T10:53:00Z-
dc.date.available2018-11-23T10:53:00Z-
dc.date.issued2003-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/165775-
dc.description.abstractChest 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.formatapplication/pdf-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleAcute myocardial infarction caused by coronary artery dissection following blunt chest trauma-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorSe Jung Yoon-
dc.contributor.googleauthorHyuck Moon Kwon-
dc.contributor.googleauthorDong Soo Kim-
dc.contributor.googleauthorBum Kee Hong-
dc.contributor.googleauthorDong Yeon Kim-
dc.contributor.googleauthorYun Hyeong Cho-
dc.contributor.googleauthorByung Seung Kang-
dc.contributor.googleauthorHyun Seung Kim-
dc.identifier.doi10.3349/ymj.2003.44.4.736-
dc.contributor.localIdA00260-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid12950135-
dc.contributor.alternativeNameKwon, Hyuck Moon ::Kwon, Hyuck Moon ::Kwon, Hyuck Moon ::Kwon, Hyuck Moon-
dc.contributor.affiliatedAuthor권혁문-
dc.citation.volume44-
dc.citation.number4-
dc.citation.startPage736-
dc.citation.endPage739-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.44(4) : 736-739, 2003-
dc.identifier.rimsid60355-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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