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KMID : 0368120010310030353
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Korean Circulation Journal
2001 Volume.31 No. 3 p.353 ~ p.358
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Acute Inferior Myocardial Infarction due to Septic Embolism into the Left Anterior Descending Artery from Infected Bicuspid Aortic Valve in A Young Man
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오인재/In Jae Oh
정명호/강경태/류제영/이상현/박종철/안영근/김성화/조정관/박종춘/안병희/김상형/강정채/Myung Ho Jeong/Kyung Tae Kang/Jay Young Rhew/Sang Hyun Lee/Jong Cheol Park/Young Keun Ahn/Sung Hwa Kim/Jeong Gwan Cho/Jong Chun Park/Byoung Hee Ahn/Sang Hyung Kim/Jung Cha
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Abstract
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A bicuspid aortic valve is one of common congenital cardiac anomaly. But the septic embolism from bicuspid aortic valve into the left anterior descending artery (LAD) resulting in acute inferior myocardial infarction is very rare. A twenty eight
year-old man suffered from severe chest pain and fever of four-week's duration. Acute inferior myocardial infarction was diagnosed on electrocardiogram. Transesophageal echocardiogram demonstrated vegetation on the bicuspid aortic valve directed into
left coronary artery ostium, and diagnostic coronary angiogram revealed round filling defect within the distal LAD. He underwent operation for aortic valve replacement, which indicated vegetated bicuspid aortic valve directed into the ostium of left
coronary artery.
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