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经皮治疗左主干冠状动脉狭窄作为急性主动脉夹层Bentall手术的晚期并发症。

Percutaneous treatment of left main coronary stenosis as a late complication of bentall operation for acute aortic dissection.

作者信息

Balbi Manrico, Olivotti Luca, Scarano Flavio, Bertero Giovanni, Passerone Giancarlo, Brunelli Claudio, Barsotti Antonio

机构信息

Department of Cardiology, University of Genova, Genova, Italy. manricobalbi@it

出版信息

Catheter Cardiovasc Interv. 2004 Jul;62(3):343-5. doi: 10.1002/ccd.20115.

DOI:10.1002/ccd.20115
PMID:15224302
Abstract

Severe ostial left main coronary stenosis developed 35 days after successful Bentall-type operation for acute aortic dissection. Treatment of this kind of complication is usually performed with open chest coronary artery bypass grafting. In our case, treatment with percutaneous transluminal coronary angioplasty and stenting of the lesion immediately after diagnostic coronary angiography was performed successfully, with persisting good results at 9-month clinical follow-up.

摘要

严重的左主干冠状动脉开口狭窄在急性主动脉夹层成功进行Bentall型手术后35天出现。这种并发症的治疗通常通过开胸冠状动脉旁路移植术进行。在我们的病例中，诊断性冠状动脉造影后立即对病变进行经皮腔内冠状动脉成形术和支架置入治疗，手术成功，9个月临床随访结果良好。

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