급성 심근경색 및 심장 내 혈전증이 동반된 베체트병 1예

• Published in: The Korean journal of medicine pp. 347 - 351
• Main Authors: 허순미, 조윤희, 하태훈, 서혜선, 전찬홍, 김동훈, 서존
• Format: Journal Article
• Language: Korean
• Published: 대한내과학회 01.03.2012
• Subjects: 내과학
• ISSN: 1738-9364; 2289-0769

베체트병에서 심장 침범은 매우 드물지만 발생 시 높은 사망률을 보일 수 있다. 저자들은 급성 심근 경색과 심장 내 혈전증이 동반된 베체트병 환자를 진단하고 스텐드 삽입 및 약물 치료한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A 36-year-old man with a history of Behçet’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 × 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. (Korean J Med 2012;82:347-351) KCI Citation Count: 0