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KMID : 0368120010310010119
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Korean Circulation Journal
2001 Volume.31 No. 1 p.119 ~ p.124
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Acute Myocardial Infarction in Young Patient Probably due to Kawasaki Disease
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이선영/Sun Young Lee
권현철/박승우/김준수/김덕경/이상훈/홍경표/박정의/서정돈/이원로/Hyeon Cheol Gwon/Seug Woo Park/June Soo Kim/Duk Kyung Kim/Sang Hoon Lee/Kyung Pyo Hong/Jeong Euy Park/Jeong Don Seo/Won Ro Lee
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Abstract
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Patient with Kawasaki disease who presented with acute myocardial infarction in young age. Although the clinical course of Kawasaki disease is self limiting, coronary aneurysm or myocardial disorders develop in about 20% of the patients. In recent years
there have been reports of ischemic heart disease as sequelae of Kawasaki disease in adults, especially young adults. In Korea, there was only one case report in 1995. We report a young woman who presented as acute myocardial infarction with coronary
artery aneurysms which highly suggest the underlying Kawasaki disease. The acute myocardial infarction in this patient seems to be the late cardiologic sequelae of Kawasaki disease, which has been silent clinically until the presentation as an acute
myocardial infarction. New noninvasive diagnostic tests are being tried to improve the detection of coronary artery complication. However, coronary angiography is still widely used to determine the presence of coronary artery lesions and access the
feasibility of coronary intervention. Another advantage of coronary angiography is that, it is possible to analyze the shape and the size of aneurysm and predict the prognosis. In this case we performed the percutaneous transluminal coronary
angioplasty(PTCA) instead of surgery. Further study comparing surgery with percutaneous coronary angioplasty is needed.
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KEYWORD
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