The Korean Journal of Medicine

  • 제86권5호
  • /
  • Pages.608-611
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  • 2014
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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약물용출스텐트 삽입 후 스텐트내재협착과 함께 발생한 관상동맥류의 치료 1예

Successful Treatment of a Coronary Artery Aneurysm that Developed with In-Stent Restenosis after Drug-Eluting Stent Implantation

  • 황태현 (인하대학교 의학전문대학원 내과학교실) ;
  • 박상돈 (인하대학교 의학전문대학원 내과학교실) ;
  • 백용수 (인하대학교 의학전문대학원 내과학교실) ;
  • 김수한 (인하대학교 의학전문대학원 내과학교실) ;
  • 이선영 (인하대학교 의학전문대학원 내과학교실) ;
  • 고규용 (인하대학교 의학전문대학원 내과학교실) ;
  • 우성일 (인하대학교 의학전문대학원 내과학교실)
  • Hwang, Tae Hyeon (Department of Internal Medicine, Inha University College of Medicine) ;
  • Park, Sang Don (Department of Internal Medicine, Inha University College of Medicine) ;
  • Baek, Yong Soo (Department of Internal Medicine, Inha University College of Medicine) ;
  • Kim, Soo Han (Department of Internal Medicine, Inha University College of Medicine) ;
  • Lee, Sun Young (Department of Internal Medicine, Inha University College of Medicine) ;
  • Go, Gyu Yong (Department of Internal Medicine, Inha University College of Medicine) ;
  • Woo, Seong Ill (Department of Internal Medicine, Inha University College of Medicine)
  • 투고 : 2013.04.30
  • 심사 : 2013.07.10
  • 발행 : 2014.05.01
⟨ 이전 논문 다음 논문 ⟩

초록

관상동맥류는 관상동맥 조영술에서 드물게 발견되는 소견이며 이는 관상동맥 중재술 시 발생하는 혈관벽의 기계적 손상과 관련된 것으로 생각된다. 다른 유발 원인으로는 죽상경화증, 선천성, 결합조직 장애, 혈관염, 감염, 약재 유발성, 외상, 특발성 등이 있다. 관상동맥류의 합병증은 다양하며 드물게 파열되는 경우가 있고 치료에 대한 합의가 아직까지 명확히 이루어지지는 않았다. 저자들은 55세 남자에서 약물용출스텐트 삽입 후 5년이 지난 뒤에 발생한 거대 관상동맥류와 스텐트 내 재협착을 그래프트스텐트를 이용하여 성공적으로 치료하였기에 이를 보고하는 바이다.

Coronary artery aneurysms are detected rarely during coronary angiography, and are associated with injury to the mechanical vessel wall during percutaneous coronary intervention. Potential causes also include atherosclerosis, congenital defects, connective tissue disorders, vasculitis, infection, drug-related injury, and trauma; it can also be idiopathic. The complications of coronary artery aneurysms vary, but they rupture only rarely. However, there is no consensus treatment strategy for coronary artery aneurysm after coronary intervention. We report a case of a 55-year-old male who developed a coronary artery aneurysm and in-stent restenosis after percutaneous coronary intervention with a drug-eluting stent. The aneurysm was treated successfully with the implantation of a graft stent.

키워드

참고문헌

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