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KMID : 1214920130190020115
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Soonchunhyang Medical Science
2013 Volume.19 No. 2 p.115 ~ p.119
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Acute Myocardial Infarction with Simultaneous Occlusions of Left Anterior Descending Artery and Right Coronary Artery
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Ko Kyu-Yong
Kim Dae-Hyeok
Hwang Tae-Hyeon
Lee Sun-Young
Woo Sung-Ill
Joo Ho-Yeon
Kim Jin-Chul
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Abstract
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Acute myocardial infarctions involving multiple coronary arteries simultaneously are infrequent and causative risk factors of the occlusions are unclear. However, severe complications arise, such as congestive heart failure or death. We report a case of two simultaneously occluded coronary arteries. A 39-year-old Korean man with simultaneous total occlusion of the left anterior descending artery and the right coronary artery presented with chest discomfort and cardiogenic shock. Immediate percutaneous coronary intervention was performed and a transvenous temporary pacemaker and intra-aortic balloon counterpulsation catheter were inserted. Through continuous effort he was discharged 8 days post intervention without any complaints.
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KEYWORD
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Coronary occlusion, Myocardial infarction, Cardiogenic shock
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