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KMID : 0368119920220020322
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Korean Circulation Journal
1992 Volume.22 No. 2 p.322 ~ p.329
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Two Cases of Takayasu's Aortitis Causing Acute Myocardial Infarction
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백순구
박금수/이승환/최경훈/황성오
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Abstract
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the myocardial infarction is usually associated with the coronary artery disease in adults. It is unusual in childhood and young adult but occasionally associated with coronary vasculitis. Takayasu's arteritis produces a panaortitis with
thickening
of
the adventitia and narrowing of aorta. Narrowing of the coronary arteries is due to extension into these arteries of the processes of inflammations that occur in aorta.
We report here two cases of Takayasu's aortitis causing acute myocardial infarction. Case 1 is a 17 year old girl presented with the inferior myocardial infarction and the cerebral infarction. Digital subtraction aortography showed a diffuse
narrowing
of the aorta and the obstruction of both subclavian arteries, right carotid artery and both femoral arteries. Case 2 is a 19 year old male patient with anterior myocardial infarction. Coronary cineangiogram showed the beak like appearance of the
left
main coronary artery.
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KEYWORD
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