임상

HOME > 연구실적 > 임상 > 논문
 
작성일 : 16-03-13 21:34
논문번호 43
논문제목(영문) Combined membrane covered and uncovered stents for coronary arteriovenous fistula associated with atherosclerotic plaque in a patient with acute myocardial infarction.
국내외구분 국외 SCI여부 SCI(E)
연구책임자역할 교신저자
주저자명 Ahn Y
교신저자명 Jeong MH
공동저자명 Ahn Y, Park OY, Jeong MH;
게제년월일 2004-02-01
ISSN 1355-6037
Impact Factor 5.595
학술지명 Heart
서지사항 0집 / 90권 / 2호,   페이지(150 - 150)
요약초록문
(Abstract) 입력		 Stent grafts have recently been applied for various coronary lesions such as coronary perforation, coronary aneurysm, and fistula. We report a case of coronary arteriovenous fistula associated with atherosclerotic plaque successfully treated with combined membrane covered and uncovered stent implantation in a patient who presented with acute myocardial infarction. He was found to have acute ST segment elevation myocardial infarction. A 12 lead ECG showed ST segment elevation of 3 mm over the precordial leads (V1–V5). Cardiac enzymes were elevated and peaked at 1161 iu/l of creatine kinase (CK), 130 iu/l of CK-MB, 0.804 ng/ml of troponin T, and 7.98 ng/ml of troponin I. Two dimensional echocardiogram demonstrated severe hypokinesia in anteroseptal and anterior wall. A coronary angiogram revealed critical stenosis in the proximal left anterior descending coronary artery and prestenotic dilatation with a large fistula drained into the main pulmonary artery (panel A). After predilation in fistula and stenosis sites, a polytetrafluoroethylene (PTFE) covered stent (3.0 × 16 mm, JOSTENT GraftMaster, Jomed, Germany) was deployed. After graft stenting, an additional uncovered stent (3.0 × 18 mm, Arthos inert, AMG, Korea) was implanted just below the graft stented site. After stenting, no visible large fistula and stenosis were found on angiography (panel B).
파일  C43.+Heart.+2004;90(2)150..pdf (288.3K) DATE : 2021-05-21 16:29:33