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钝性胸部创伤后冠状动脉夹层:多层螺旋计算机断层扫描的表现

Coronary artery dissection after blunt chest trauma: depiction at multidetector-row computed tomography.

作者信息

Sato Yuichi, Matsumoto Naoya, Komatsu Sei, Matsuo Shinro, Kunimasa Taeko, Yoda Shunichi, Ichikawa Makoto, Kasamaki Yuji, Takahashi Motoichiro, Uchiyama Takahisa, Saito Satoshi

出版信息

Int J Cardiol. 2007 May 16;118(1):108-10. doi: 10.1016/j.ijcard.2006.05.075. Epub 2006 Aug 7.

Abstract

Coronary artery dissection after blunt chest trauma has rarely been reported in traumatic cardiac injuries, but it may cause fatal or nonfatal myocardial infarction. We report a case of dissection of the left main coronary artery, which resulted in acute myocardial infarction 5 weeks after blunt chest trauma. Multidetector-row computed tomography performed prior to the onset of infarction depicted intimal flap and dissected cavities.

摘要

钝性胸部创伤后冠状动脉夹层在创伤性心脏损伤中鲜有报道,但可能导致致命或非致命性心肌梗死。我们报告一例左主干冠状动脉夹层病例,该病例在钝性胸部创伤5周后导致急性心肌梗死。梗死发作前进行的多排螺旋计算机断层扫描显示了内膜瓣和夹层腔。

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