우관상동맥과 좌회선지간 교통이 있는 환자에서 나타난 거대 심근내 동맥류: 증례 보고

Coronary artery aneurysm is a rare disease. It occurs in the epicardial space, mostly along the course of major coronary arteries. Here, we report a case of a giant incidental aneurysm embedded in the basal posterior wall of the left ventricle. A 43-year-old woman was referred to our institution for...

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Veröffentlicht in:Taehan Yŏngsang Ŭihakhoe chi 2020, Vol.81 (1), p.213-218
Hauptverfasser: 이유현, 박노혁, 박지연, 김선정, Yu Hyun Lee, Noh Hyuck Park, Ji Yeon Park, Seon-Jeong Kim
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Sprache:kor
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Zusammenfassung:Coronary artery aneurysm is a rare disease. It occurs in the epicardial space, mostly along the course of major coronary arteries. Here, we report a case of a giant incidental aneurysm embedded in the basal posterior wall of the left ventricle. A 43-year-old woman was referred to our institution for the evaluation of cardiac palpitations that had been present from the previous 2 months. She reported no medical history (such as Kawasaki's disease or hypertension) or previous operative history. Echocardiogram and subsequent cardiac CT revealed a giant aneurysm in the left ventricle, with a direct fistulous connection to a dilated and tortuous left circumflex artery, which showed direct communication with the straight right coronary artery. 관상동맥류는 드문 질환으로 대개 주관상동맥의 주행을 따라 심외막공간에서 발생한다. 본 논문에서 우리는 우연히 발견된 좌심실의 하기저벽에 생긴 거대동맥류 사례를 보고하고자 한다. 가와사키병이나 고혈압을 비롯한 과거력이 없는 43세 여자 환자가 두 달간 지속된 심계항진을 주소로 내원하였다. 심초음파와 심장 컴퓨터단층촬영에서 좌심실에 거대동맥류가 있었고 이것은 좌회선지와 직접 동맥루를 이루었으며, 좌회선지는 우관상동맥과 교통하였다.
ISSN:1738-2637
2288-2928