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Extensive complex thoracoabdominal aortic aneurysm salvaged by surgical graft providing landing zone for endovascular graft:A case report

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World Journal of Clinical Cases 2022年第15期10卷 5005-5011页

作者： albert youngwoo jang Pyung Chun Oh Jin Mo Kang Chul Hyun Park Woong Chol Kang Department of Cardiology Gachon University Gil Medical CenterIncheon 1198South Korea Department of Internal Medicine Gil Medical CenterGachon Cardiovascular Research InstituteGachon University College of MedicineIncheon 1198South Korea Division of Vascular Surgery Gachon University Gil Medical CenterIncheon 1198South Korea Department of Thoracic and Cardiovascular Surgery Gachon University Gil Medical CenterIncheon 1198South Korea Division of Cardiology Gil Medical CenterGachon University of Medicine and ScienceIncheon 1198South Korea

BACKGROUND Surgical repair of complex abdominal aortic aneurysm is associated with a higher perioperative mortality and *** advent of endovascular aortic repair(EVAR)has reduced perioperative complications,although the utilization of such techniques is limited by lesion characteristics,such as involvement of the visceral or renal arteries(RA)and/or presence of a sealing *** SUMMARY A 60-year-old male presented with a Crawford type IV complex thoracoabdominal aortic aneurysm(CAAA)starting directly distal to the diaphragm extending to both common iliac arteries(CIAs).The CAAA consist of a proximal and distal aneurysmal sac separated by a 1 cm-healthy zone in the infrarenal *** to the poor performance of the patient and the expansive disease,we planned a stepwise-combined surgery and EVAR to minimize invasiveness.A branched graft was implanted after surgical debranching of the visceral and *** the patient had renal and liver injury after surgery,the second stage EVAR was performed 10 mo *** stent graft was implanted from the distal portion of surgical branched graft to both CIAs during *** patient has been uneventful for 5-years after discharge and is being followed in the outpatient *** The current case demonstrates that the surgical graft can provide a landing zone for second stage EVAR to avoid aggressive surgery in patients with poor performance with a long hostile CAAA.

关键词： Complex thoracoabdominal aortic aneurysm Abdominal aortic aneurysm surgery Endovascular aortic repair Common iliac artery aneurysm Case report

Acute myocardial infarction after initially diagnosed with unprovoked venous thromboembolism: A case report

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World Journal of Clinical Cases 2023年第30期11卷 7497-7501页

作者： Jeongduk Seo Joonpyo Lee Yong Hoon Shin albert youngwoo jang Soon Yong Suh Department of Cardiology Gachon University Gil Medical CenterIncheon 405-760South Korea

BACKGROUND Protein C deficiency is typically associated with venous thromboembolism;however,arterial thrombosis has been reported in several *** report the case of a patient with pulmonary thromboembolism and deep vein thrombosis following acute myocardial infarction with high thrombus *** SUMMARY A 40-year-old man was diagnosed with pulmonary thromboembolism and deep vein thrombosis without any provoking *** patient was treated with anticoagulants for six months,which were then *** months after the discontinuation of anticoagulant therapy,the patient was hospitalized with chest pain and diagnosed with acute myocardial infarction with high thrombus *** tests revealed protein C deficiency associated with *** patient was treated with anticoagulants combined with dual antiplatelet agents for 1 year after percutaneous coronary intervention,and no recurrent events were reported during a follow-up period of 5 *** Recurrent thromboembolic events including acute myocardial infarction with thrombus should be considered an alarming sign of thrombophilia.

关键词： Venous thromboembolism thrombophilia Protein C deficiency ST elevation myocardial infarction Anticoagulation Case report

Iatrogenic aortic dissection during right transradial intervention in a patient with aberrant right subclavian artery:A case report

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World Journal of Clinical Cases 2022年第27期10卷 9897-9903页

作者： Kyungeun Ha albert youngwoo jang Yong Hoon Shin Joonpyo Lee Jeongduk Seo Seok In Lee Woong Chol Kang Soon Yong Suh Division of Cardiology Department of Internal MedicineYonsei University College of Medicine50 Yonsei-roSeodaemun-guSeoulSouth Korea Division of Cardiology Department of Internal MedicineGil Medical CenterGachon University College of MedicineIncheonSouth Korea Department of Thoracic and Cardiovascular Surgery Gil Medical CenterGachon University College of MedicineIncheonIncheonSouth Korea

BACKGROUND Aberrant right subclavian artery(ARSA)is the most common congenital anomaly of the aortic *** patients having such anomalies receive transradial intervention(TRI),aortic dissection(AD)may ***,we discuss a case of iatrogenic type B AD occurring during right TRI in an ARSA patient,that was later salvaged by percutaneous *** SUMMARY A 73-year-old man presented to our hospital with intermittent chest *** computed tomography(CT)angiography revealed significant stenosis in the left anterior descending *** coronary angiography was performed via the right radial artery without ***,we were unable to advance the guiding catheter past the ostium of the right subclavian artery to the aortic arch for percutaneous coronary intervention,while the guidewire tended to go down the descending *** patient suddenly complained of chest and back *** CT aortography revealed type B AD propagating to the left renal artery(RA)with preserved renal ***,after 2 d,the patient suddenly complained of right lower limb pain where the femoral pulse was suddenly ***-up CT indicated further progression of dissection to the right external iliac artery(EIA)and left RA with limited *** performed percutaneous angioplasty of the right EIA and left RA without ***-up CT aortography at 8 mo showed optimal *** A caution is required during right TRI in ARSA to avoid *** angioplasty can be a treatment option.

关键词： Aberrant subclavian artery Coronary angiography Aortic dissection Aortography Percutaneous transluminal angioplasty Case report

Extreme venous letting and cupping resulting in life-threatening anemia and acute myocardial infarction:A case report

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World Journal of Clinical Cases 2020年第24期8卷 6432-6436页

作者： albert youngwoo jang Soon Yong Suh Department of Cardiology Gachon University Gil Medical CenterIncheon 21565South Korea Department of Cardiology Gachon University Gil HospitalIncheon 21565South Korea

BACKGROUND Wet cupping (WC) is a traditional therapy of skin suction-assisted bloodlettingthat is widely used in modern alternative medicine in Asia and the Middle ***, we report the case of a male who presented with ST-elevation myocardialinfarction (STEMI) and life-threatening anemia and underwent excessive *** SUMMARY A 55-year-old male presented with chest pain (30 min) and dyspnea (3 wk). Hisinitial electrocardiogram suggested STEMI in the anterior wall. Furthermore, hislaboratory results showed severe anemia with a hemoglobin level of 4.1 g/dL. Ofnote, the patient underwent regular WC therapy for chronic back pain, which hehad recently intensified. His WC practice resulted in life-threatening anemia andeventually STEMI. Percutaneous coronary intervention in the left anteriordescending artery was performed to treat the STEMI. His dyspnea dramaticallyimproved after the transfusion, and his hemoglobin level returned to 14.8 g/dLwithin 2 mo after discharge. He has been uneventful for the last seven years *** The current case demonstrates that excessive WC without adequate medicalmonitoring can result in severe anemia, which can further develop into STEMI.

关键词： Bloodletting ST-elevation myocardial infarction Anemia Cupping Wet cupping Case report

Ventricular fibrillation and sudden cardiac arrest in apical hypertrophic cardiomyopathy:Two case reports

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World Journal of Clinical Cases 2021年第35期9卷 11102-11107页

作者： Yae Min Park albert youngwoo jang Wook-Jin Chung Seung Hwan Han Christopher Semsarian In Suck Choi Department ofCardiology Gachon University Gil Medical CenterIncheon 21556South Korea Agnes Ginges Centre for Molecular Cardiology Centenary Institute The University of SydneySydney 21556Australia

BACKGROUND Apical hypertrophic cardiomyopathy(HCM)is considered to have a benign prognosis in terms of cardiovascular *** serial case report aimed to raise awareness of ventricular fibrillation(VF)and sudden cardiac death(SCD)in apical *** SUMMARY Here we describe two rare cases of apical HCM that presented with documented VF and sudden cardiac *** patients were previously not recommended for primary prevention using implantable cardioverter-defibrillator(ICD)therapy based on current ***,both received ICD therapy for the secondary prevention of *** These cases illustrate serious complications including VF and aborted sudden cardiac arrest in apical HCM patients who are initially not candidates for primary prevention using ICD implantation based on current guidelines.

关键词： Apical hypertrophic cardiomyopathy Ventricular fibrillation Implantable cardioverter-defibrillator Case report