초록 열기/닫기 버튼
저자들은 천식으로 치료받던 환자가 전 흉부 통증을 주소로 내원하여 시행한 관상동맥 혈관 조영술상 좌전하행동맥 첫 번째 diagonal 분지에 동정맥 기형을 보이며 acetylcholine약물유발 반응 검사상 관상동맥 연축 양성 소견을 보인 1예를 경험하여 문헌고찰과 함께 보고하는 바이다.
Coronary arteriovenous malformation (AVM) is a rare congenital coronary anomaly. We report a 60 year-old woman with variant angina and coronary AVM. She presented with recurrent chest pain at rest but there were no significant cardiovascular risk factors. Baseline coronary angiography showed the AVM which originated from first diagonal branch. Acetylcholine (Ach) provocation test was performed at left anterior descending artery (LAD) to induce coronary spasm. Ach 50㎍ injection induced severe diffuse spasm at LAD with typical chest pain. We confirmed that this patient has variant angina with AV malformation.(Korean J Med 70:90-93, 2006)
Coronary arteriovenous malformation (AVM) is a rare congenital coronary anomaly. We report a 60 year-old woman with variant angina and coronary AVM. She presented with recurrent chest pain at rest but there were no significant cardiovascular risk factors. Baseline coronary angiography showed the AVM which originated from first diagonal branch. Acetylcholine (Ach) provocation test was performed at left anterior descending artery (LAD) to induce coronary spasm. Ach 50㎍ injection induced severe diffuse spasm at LAD with typical chest pain. We confirmed that this patient has variant angina with AV malformation.(Korean J Med 70:90-93, 2006)
키워드열기/닫기 버튼
Coronary arteriovenous malformation, Variant angina
