The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Behcet's Syndrome with Acute Myocardial Infarction and Intracardiac Thrombosis

급성 심근경색 및 심장 내 혈전증이 동반된 베체트병 1예

  • Hur, Soon-Mi (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Cho, Youn-Hee (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Ha, Tae-Hoon (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Seo, Hye-Sun (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Jeon, Chan-Hong (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Dong-Hun (Department of Radiology, Soonchunhyang University College of Medicine) ;
  • Suh, Jon (Department of Internal Medicine, Soonchunhyang University College of Medicine)
  • 허순미 (순천향대학교 의과대학 부천병원 내과) ;
  • 조윤희 (순천향대학교 의과대학 부천병원 내과) ;
  • 하태훈 (순천향대학교 의과대학 부천병원 내과) ;
  • 서혜선 (순천향대학교 의과대학 부천병원 내과) ;
  • 전찬홍 (순천향대학교 의과대학 부천병원 내과) ;
  • 김동훈 (순천향대학교 의과대학 부천병원 영상의학과) ;
  • 서존 (순천향대학교 의과대학 부천병원 내과)
  • Published : 2012.03.01
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Abstract

A 36-year-old man with a history of Behcet's syndrome and vascular complications visited the emergency room due to sudden chest pain and dyspnea. He had no coronary risk factors. Electrocardiography showed ST elevations in multiple precordial leads. Echocardiography showed akinesia of the anterior wall, interventricular septum, and apex, with a movable round mass measuring 1.4 ${\times}$ 1.5 cm in the right atrium. Cardiac computed tomography (CT) suggested the presence of a thrombus in the coronary sinus protruding into the right atrium. Coronary angiography revealed total occlusion with thrombi in the proximal left anterior descending coronary artery. Thrombectomy and stent insertion were performed. After the procedure, the patient was prescribed warfarin. Follow-up CT indicated the disappearance of the thrombi originating from the coronary sinus.

베체트병에서 심장 침범은 매우 드물지만 발생 시 높은 사망률을 보일 수 있다. 저자들은 급성 심근 경색과 심장 내혈전증이 동반된 베체트병 환자를 진단하고 스텐드 삽입 및 약물 치료한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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