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KMID : 0338420140290010106
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The Korean Journal of Internal Medicine
2014 Volume.29 No. 1 p.106 ~ p.110
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Spontaneous coronary artery dissection by intravascular ultrasound in a patient with myocardial infarction
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Jang Ji-Hun
Kim Dae-Hyeok
Yang Dong-Hyuk
Woo Seong-Il
Kwan Jun
Park Keum-Soo
Shin Sung-Hee
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Abstract
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Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. The incidence, causes, pathogenesis, and treatment have not been defined clearly, but spontaneous coronary artery dissection should be considered in young patients without major cardiovascular risk factors or in patients in the peripartum period who present with acute coronary syndrome. The treatment is often challenging. Medical treatment is usually considered, and percutaneous coronary intervention or coronary artery bypass surgery may be possible in some patients. We herein report two cases of middle-aged males with myocardial infarction who were treated with percutaneous coronary angioplasty.
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KEYWORD
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Coronary artery dissection, spontaneous, Myocardial infarction, Coronary angiography, Ultrasonography, interventional, Percutaneous coronary intervention
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