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KMID : 0359920110300030329
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Korean Journal of Nephrology
2011 Volume.30 No. 3 p.329 ~ p.334
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A Thrombotic Coronary Artery Aneurysm Associated with Atherosclerosis in a Patient with End Stage Renal Disease
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Hyun Yu-Kyung
Yoon Se-Jung
Lee Sang-Hun
Kim In-Tae
Park Hyung-Bok
Kim Yoon-Ji
Lee Sang-Choel
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Abstract
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We present a case of thrombotic coronary aneurysm of the left anterior descending artery (LAD) presenting with recurrent severe orthopnea in an end stage renal disease patient. She was admitted to the hospital with progressive dyspnea, exertional chest pain, and profound orthopnea. The echocardiography revealed a well marginated mass lesion between the main pulmonary artery and the left atrium. Chest CT showed a space-occupying lesion surrounded by the main pulmonary artery, the left atrium and the appendage adjacent to the atherosclerotic calcified lesion. Coronary angiography confirmed a huge thrombotic aneurysm with total occlusion of the proximal LAD. The presentation and management of the coronary aneurysm was reviewed.
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KEYWORD
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Coronary aneurysm, Renal dialysis, Atherosclerosis
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