Mouline N, Ghannam R, Guédira S, el Haitem N, Srairi J E, Benomar M
Ligue nationale de lutte contre les maladies cardiovasculaires, Hôpital Avicenne, Rabat, Maroc.
Arch Mal Coeur Vaiss. 1999 Jan;92(1):61-4.
The authors report the case of a 70 year old woman followed up in our Department for ischaemic heart disease since 1991 and admitted to the Intensive Care Unit in November 1996 for unstable angina. Coronary angiography showed significant stenosis of the left main coronary artery, a severe stenosis of the LAD and occlusion of the right coronary artery. Angioplasty of the middle segment of the LAD and left main coronary arteries with implantation of a stent was performed because of resistance to medical therapy and a contra-indication to surgery. Four months later, recurrent anginal pain led to a repeat angioplasty of the LAD with a satisfactory immediate result. The initial procedure on the left main coronary artery was successful and follow up was uncomplicated.
作者报告了一例70岁女性的病例，自1991年起在我们科室因缺血性心脏病接受随访，并于1996年11月因不稳定型心绞痛入住重症监护病房。冠状动脉造影显示左主干冠状动脉严重狭窄，左前降支严重狭窄，右冠状动脉闭塞。由于药物治疗无效且存在手术禁忌证，对左前降支中段和左主干冠状动脉进行了血管成形术并植入了支架。四个月后，复发性心绞痛导致再次对左前降支进行血管成形术，即刻结果令人满意。左主干冠状动脉的初始手术成功，随访过程无并发症。
