The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Treatment of a Spontaneous Coronary Artery Dissection Involving the Left Main Coronary Artery Using the Culotte Stent Technique

Culotte 스텐팅 기법으로 치료한 좌주간지 침범 자발성 관상동맥 박리증

  • Lee, Joo-Ho (Department of Cardiology, Ajou University School of Medicine) ;
  • Jeon, Ja-Young (Department of Cardiology, Ajou University School of Medicine) ;
  • Ban, Ga-Young (Department of Cardiology, Ajou University School of Medicine) ;
  • Kang, Eun-Jung (Department of Cardiology, Ajou University School of Medicine) ;
  • Park, Jin-Sun (Department of Cardiology, Ajou University School of Medicine) ;
  • Joe, Dai-Yeol (Department of Cardiology, Ajou University School of Medicine) ;
  • Choi, Byoung-Joo (Department of Cardiology, Ajou University School of Medicine)
  • 이주호 (아주대학교 의과대학 순환기내과학교실) ;
  • 전자영 (아주대학교 의과대학 순환기내과학교실) ;
  • 반가영 (아주대학교 의과대학 순환기내과학교실) ;
  • 강은정 (아주대학교 의과대학 순환기내과학교실) ;
  • 박진선 (아주대학교 의과대학 순환기내과학교실) ;
  • 조대열 (아주대학교 의과대학 순환기내과학교실) ;
  • 최병주 (아주대학교 의과대학 순환기내과학교실)
  • Published : 2012.09.01
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Abstract

Spontaneous coronary artery dissection (SCAD) is an extremely rare clinical manifestation of ischemic heart disease. A 43-year-old female was admitted to our hospital for non-ST elevation myocardial infarction. She had no cardiac risk factors except smoking. Coronary angiography showed moderate stenosis of the proximal left circumflex artery (LCX) with intraluminal haziness and a spastic appearance from the culprit lesion in the left main coronary artery (LM). Subsequent analysis by intravascular ultrasound (IVUS) revealed a clear dissection flap from the LCX to the LM. Generally, SCAD of the LM or multivessel involvement requires primary surgical management. The present case was treated percutaneously using the culotte stent technique.

좌주간지를 침범하는 자발성 관상동맥 박리증은 일반적으로 관상동맥 우회수술로 치료하는 것으로 알려져 있다. 본 증례는 좌주간지 침범 자발성 관상동맥 박리증을 수술하지 않고 culotte 스텐팅 기법을 이용하여 경피적 중재시술로 성공적으로 치료한 예이다.

Keywords

References

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