Doyle Brendan, Juergens Craig Philip
Department of Cardiology, Mater Misericordiae Hospital, Eccles Street, Dublin 7, Ireland.
J Invasive Cardiol. 2004 Feb;16(2):92-4.
Despite notable refinements in percutaneous coronary intervention (PCI) techniques, these procedures are still associated with some morbidity and mortality. A case of elective coronary angioplasty is described that was complicated by coronary dissection and ST-elevation myocardial infarction. Subsequent efforts to recanalize the coronary artery resulted in a catheter-induced tear at the origin of the vessel, with proximal extension of the dissection to involve the ascending aorta. Literature relating to this complication (reviewed here) suggests that surgical management may be indicated under the circumstances we describe. However, a conservative approach was adopted in this instance with excellent long-term results.
尽管经皮冠状动脉介入治疗（PCI）技术有了显著改进，但这些手术仍会带来一些发病率和死亡率。本文描述了一例择期冠状动脉血管成形术，该手术并发冠状动脉夹层和ST段抬高型心肌梗死。随后试图使冠状动脉再通，结果在血管起始处导致导管引起的撕裂，夹层近端延伸至升主动脉。（本文回顾的）有关该并发症的文献表明，在我们所描述的情况下可能需要手术治疗。然而，本例采用了保守方法，取得了出色的长期效果。
