Gupta Rajiv, Rahman Mohammed A, Uretsky Barry F, Schwarz Ernst R
Division of Cardiology, Department of Internal Medicine, The University of Texas Medical Branch, Galveston, Texas, 77555-0553, USA.
J Thromb Thrombolysis. 2005 Apr;19(2):125-31. doi: 10.1007/s11239-005-1924-2.
Left main coronary artery (LMCA) thrombosis with acute myocardial infarction is an uncommon condition with an extremely high mortality. The small number of reported cases prevents the development of an evidence-based approach. Hence there are no clear-cut guidelines describing the best management approach for this condition. We describe our experience with six patients who presented with LMCA thrombosis and discuss the epidemiology, etiology and management options available for this high-risk subgroup.
左冠状动脉主干(LMCA)血栓形成伴急性心肌梗死是一种罕见疾病,死亡率极高。已报道的病例数量较少,无法形成基于证据的治疗方法。因此,尚无明确的指南描述针对这种情况的最佳管理方法。我们描述了6例LMCA血栓形成患者的治疗经验,并讨论了该高危亚组的流行病学、病因及可用的管理方案。