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KMID : 0368120100400040197
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Korean Circulation Journal
2010 Volume.40 No. 4 p.197 ~ p.200
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Acute Myocardial Infarction due to Polyarteritis Nodosa in a Young Female Patient
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Wi Jin
Choi Hyun-Hee
Lee Chan-Joo
Kim Tae-Hoon
Shin Sang-Hoon
Ko Young-Guk
Jang Yang-Soo
Park Yong-Bum
Kwon Young-Joo
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Abstract
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Coronary artery aneurysms are uncommon, are usually associated with atherosclerosis, and rarely involve all three major coronary arteries. The present report describes a rare case of a young female patient presenting with acute myocardial infarction (AMI). Coronary angiography revealed multiple severe aneurysmal and stenotic changes. Based on clinical feature and angiographic findings, it was strongly suspected that the patient had polyarteritis nodosa (PAN) complicated by AMI. The patient was treated with standard cardiac medications and immunosuppressive agents and has remained stable without further complications during a follow-up period of 6 months.
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KEYWORD
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Coronary aneurysm, Myocardial infarction, Polyarteritis nodosa, Vasculitis
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