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心脏移植受者的严重左主干狭窄:冠状动脉支架置入术成功治疗

Severe left main stem stenosis in a cardiac transplant recipient: successful treatment by coronary stenting.

作者信息

Price D J, Hall J A, Forty J

机构信息

Cardiothoracic Division, South Cleveland Hospital, Middlesbrough, United Kingdom.

出版信息

J Invasive Cardiol. 2000 Jul;12(7):369-72.

PMID:10904445
Abstract

A 58-year-old male underwent orthotopic cardiac transplantation for ischemic cardiomyopathy. At routine coronary angiography 2 years later, he was found to have severe concentric stenosis of the left main coronary artery but was asymptomatic. Revascularization was recommended on prognostic grounds and after discussion with his cardiac transplant surgeon, percutaneous coronary intervention with elective stenting was offered. This was performed successfully with a single stent and a good angiographic result was maintained 6 and 18 months later.

摘要

一名58岁男性因缺血性心肌病接受了原位心脏移植。两年后的常规冠状动脉造影显示,他的左主干冠状动脉有严重的同心狭窄,但无症状。基于预后考虑并与心脏移植外科医生讨论后,建议进行血运重建,并为其提供了择期支架置入的经皮冠状动脉介入治疗。该手术使用单个支架成功完成,6个月和18个月后血管造影结果良好。

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