Kaljusto Mari-Liis, Koldsland Stein, Vengen Oystein Arild, Woldbaek Per Reidar, Tønnessen Theis
Department of Cardiothoracic Surgery, Heart and Lung Center, Ullevål University Hospital, 0407 Oslo, Norway.
J Card Surg. 2006 May-Jun;21(3):301-3. doi: 10.1111/j.1540-8191.2006.00239.x.
Acute spontaneous coronary artery rupture is rare and the diagnosis might be missed due to high risk of mors subita. We present three patients hospitalized with signs of cardiac tamponade due to acute spontaneous coronary artery rupture. All the three were successfully operated with evacuation of the pericardial hematoma, identification of the bleeding site, and hemostasis. The patients were examined with coronary angiography and computer tomography, and no underlying cause of the rupture was detected. In patients presenting with cardiac tamponade, acute spontaneous coronary artery rupture is a possible diagnosis.
急性自发性冠状动脉破裂较为罕见，由于猝死风险高，诊断可能会被遗漏。我们报告3例因急性自发性冠状动脉破裂出现心脏压塞体征而住院的患者。所有3例患者均成功接受手术，清除心包血肿、确定出血部位并止血。对这些患者进行了冠状动脉造影和计算机断层扫描检查，未发现破裂的潜在原因。对于出现心脏压塞的患者，急性自发性冠状动脉破裂是一种可能的诊断。
