短期内两条主要冠状动脉相继闭塞导致急性心肌梗死的抽吸血栓切除术。

Aspiration thrombectomy for acute myocardial infarction resulting from the sequential occlusions of two major coronary arteries in a short time.

作者信息

Kurisu Satoshi, Inoue Ichiro, Kawagoe Takuji, Ishihara Masaharu, Shimatani Yuji, Mitsuba Naoya, Hata Takaki, Nakama Yasuharu, Kisaka Tomohiko, Kijima Yasufumi

机构信息

Department of Cardiology, Hiroshima City Hospital, Hiroshima.

出版信息

Intern Med. 2004 Dec;43(12):1166-70. doi: 10.2169/internalmedicine.43.1166.

DOI:10.2169/internalmedicine.43.1166

PMID:15645652

Abstract

A 49-year-old man was admitted to our hospital due to chest oppressive sensation. Coronary angiography showed total occlusion in the proximal right coronary artery even after intracoronary nitroglycerin, but no stenosis in the left coronary artery. He was treated with aspiration thrombectomy and stent deployment. After 23 hours, he suddenly had severe chest pain, and ECG showed marked ST elevation in leads I, aVL and V2-6. Surprisingly, coronary angiography showed total occlusion in the proximal left anterior descending artery even after intracoronary nitroglycerin where there had been no stenosis on first angiogram just 23 hours earlier. He was treated with aspiration thrombectomy.

摘要

一名49岁男性因胸部压迫感入院。冠状动脉造影显示，即使在冠状动脉内注射硝酸甘油后，右冠状动脉近端仍完全闭塞，但左冠状动脉无狭窄。对其进行了血栓抽吸切除术和支架置入术。23小时后，他突然出现严重胸痛，心电图显示I、aVL及V2 - 6导联ST段明显抬高。令人惊讶的是，冠状动脉造影显示，即使在冠状动脉内注射硝酸甘油后，左前降支近端完全闭塞，而就在23小时前的首次血管造影中此处并无狭窄。对其进行了血栓抽吸切除术治疗。