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KMID : 0364020140470040402
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Korean Journal of Thoracic and Cardiovascular Surgery
2014 Volume.47 No. 4 p.402 ~ p.405
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Right Coronary Artery Fistula and Occlusion Causing Myocardial Infarction after Blunt Chest Trauma
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Kim Kun-Il
Lee Won-Yong
Ko Ho-Hyun
Kim Hyoung-Soo
Lee Hee-Sung
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Abstract
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Myocardial infarction (MI) secondary to coronary artery fistula and the subsequent occlusion of the distal right coronary artery (RCA) after blunt chest trauma is a rare entity. Here, we describe a case of coronary artery fistula and occlusion with an inferior MI that occurred following blunt chest trauma. At the initial visit to the emergency room after a car accident, this patient had been undiagnosed with acute myocardial infarction, readmitted five months after ischemic insult, and revealed to have experienced MI due to RCA-right atrial fistula and occlusion of the distal RCA. He underwent coronary surgery and recovered without complications.
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KEYWORD
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Blunt chest trauma, Myocardial infarction, Coronary artery fistula
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