Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Coronary Artery Transfer for Anomalous Origin of Left Coronary Artery from Right Coronary Sinus

좌 관상동맥 이상기시의 수술적 치료

  • 이준완 (울산대학교 의과대학 서울아산병원 흉부외과) ;
  • 이재원 (울산대학교 의과대학 서울아산병원 흉부외과) ;
  • 김종우 (울산대학교 의과대학 서울아산병원 흉부외과)
  • Published : 2003.07.01
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Abstract

Anomalous aortic origin of left coronary artery is a rare congenital coronary anomaly that can cause clinical manifestations such as ischemic chest pain, arrhythmic syncope or even sudden cardiac death. We describe a case of anomalous aortic origin of left main coronary artery presented as a cardiogenic shock which was successfully treated by coronary artery transfer.

선천성 관상동맥 기형 중 관상동맥 이상기시는 매우 드물게 발생한다. 무증상인 경우도 있지만 실신, 부정맥, 호흡곤란이나 심인성 급사를 일으키기도 한다고 알려져 있다. 저자들은 반복적인 운동 시 실신과 호흡곤란을 주소로 내원한 12세 환아에서 좌관상동맥의 우관상동 기시를 진단하여 관상동맥 이동술(coronary artery transfer)을 시행하여 성공적으로 치험하였기에 관련 문헌과 함께 보고한다.

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References

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