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直接支架置入术治疗左主干受压型主动脉夹层所致急性心肌梗死

Acute myocardial infarction due to left main compression aortic dissection treated by direct stenting.

作者信息

Cardozo Carlos, Riadh Rihani, Mazen Moukahal

机构信息

Service de Cardiologie, Centre Hospitalier Saint Philibert, 115, rue du grand But, B.P. 249, 59462, Lomme, Cedex, France.

出版信息

J Invasive Cardiol. 2004 Feb;16(2):89-91.

PMID:14760201
Abstract

We describe a case of acute myocardial infarction (AMI) due to compression of the left main coronary artery (LMCA) by a false channel created by an acute aortic dissection (AAD). The dynamic pattern of artery obstruction is detailed as a key element to the diagnosis of extrinsic coronary compression throughout the angiography. Treatment by direct stenting restored complete anterograde coronary flow and improved myocardial perfusion.

摘要

我们描述了一例因急性主动脉夹层(AAD)形成的假腔压迫左主干冠状动脉(LMCA)导致的急性心肌梗死(AMI)病例。动脉阻塞的动态模式作为整个血管造影术中诊断外在冠状动脉压迫的关键要素进行了详细描述。直接支架置入治疗恢复了冠状动脉的完全顺行血流并改善了心肌灌注。

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