创伤性冠状动脉夹层

Traumatic coronary artery dissection.

作者信息

Harada Hideyuki, Honma Yukiko, Hachiro Yoshikazu, Mawatari Tohru, Abe Tomio

机构信息

Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kushiro Hospital, Japan.

出版信息

Ann Thorac Surg. 2002 Jul;74(1):236-7. doi: 10.1016/s0003-4975(01)03515-9.

DOI:10.1016/s0003-4975(01)03515-9

PMID:12118767

Abstract

A 14-year-old boy sustained blunt chest trauma resulting in dissection of the left main coronary artery, postinfarction left ventricular aneurysm, mitral regurgitation, and tricuspid regurgitation. He underwent pericardial patch angioplasty of the left main coronary artery, left ventricular aneurysmectomy, mitral valvuloplasty, and tricuspid annuloplasty. The patient continues to do well 4 years after operation.

摘要

一名14岁男孩遭受钝性胸部创伤，导致左冠状动脉夹层、心肌梗死后左心室室壁瘤、二尖瓣反流和三尖瓣反流。他接受了左冠状动脉心包补片血管成形术、左心室室壁瘤切除术、二尖瓣成形术和三尖瓣环成形术。术后4年，患者情况良好。