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KMID : 0368119940240020324
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Korean Circulation Journal
1994 Volume.24 No. 2 p.324 ~ p.328
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Aneurysm of the Right Coronary Artery with Acute Myocardial Infarction After Blunt Chest Trauma : A Case Report
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김영식
황성오/이강현/안무업/임경수/강남규/송광선/윤정한/박금수
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Abstract
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Despite a large number of automobile accidents, the aneurysm of a coronary artery from blunt chest trauma is a very rare entity. Especially aneurysm of the right coronary artery has been few previously described.
A 24-year old man sustained blunt chest trauma from steering wheel contact during automobile accident 6 hours after admission, an electrocardiogram revealed complete heart block with ST elevation in lead II. III, and aVF. He needed temporary
transvenous
cardiac pacing and large amount fluid infusion for treatment of cardiogenic shock from bradycardia and right ventricluar infarction in emergency center.
2-dimensional echocardiography showed akinetic inferior wall of the left ventricle and dilatation of the right ventricle. Coronary arteriography revealed a saccular aneurysm in the proximal right coronary artery without atherosclerotic change.
Size of
aneurysm in right coronary artery remained unchanged on repeat coronary arteriogrpahy. His hospital course was uneventful and discharged without any sign of residual ischemia.
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KEYWORD
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