C형 및 S형 단백 결핍에 의한 급성 동맥 폐쇄
Acute Arterial Occlusion Associated with Protein C and S Deficiencies
정은영, 김용호, 장혁재, 김지수, 조용필,
소속 상세정보
정은영 ( Jung Eun-Young )
울산대학교 의과대학 서울아산병원 외과학교실
김용호 ( Kim Yong-Ho )
울산대학교 의과대학 강릉아산병원 외과
장혁재 ( Jang Hyuk-Jai )
울산대학교 의과대학 강릉아산병원 외과학교실
김지수 ( Kim Ji-Su )
아산재단 강릉병원 외과학교실
조용필 ( Cho Yong-Pil )
울산대학교 의과대학 강릉아산병원 외과학교실
KMID : 0371320030640030269
Abstract
Sudden acute arterial occlusion can result from a multitude of pathological processes. Although the appearance and the secondary effects of an acute arterial occlusion are similar regardless of the underlying cause, the treatment and prognosis are different. Therefore, establishing a correct diagnosis is crucial. Acute arterial occlusion is most frequently a complication of ischemic cardiac disease, with an atrial fibrillation occurring in most patients. An identifiable noncardiac source of the acute arterial occlusion can be found in 5~10% of patients. Howerver, in these cases, the specific source of the occlusion cannot be determined clinically or even at autopsy. Possible hypercoagulable states should be suspected and appropriately evaluated, particularly in patients with no history of antecedent occlusive disease who present with sudden arterial occlusions, or in patients with malignant disease. Protein C and protein S deficiencies are frequently described as a cause of the hypercoagulable states. We reported 3 cases of acute arterial occlusion associated with protein C and S deficiencies.
키워드
급성 질환;동맥 폐쇄;C형 단백;S형 단백;결핍
Acute disease;Arterial occlusion;Protein C;Protein S; Deficiency
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