Akilli A, Duygu H, Erturk U, Yildiz A, Zoghi M, Ozerkan F
Int J Cardiol. 2006 Oct 26;113(1):E16-8. doi: 10.1016/j.ijcard.2006.01.075. Epub 2006 Oct 12.
There is not an established consensus on the treatment of coronary steal syndrome caused by unligated thoracic side branches of internal mammary artery. Occlusion of thoracic side branch is not recommended without objective evidence of ischemia. This case report presents transbrachial coil occlusion of thoracic side branch of left internal mammary artery causing silent ischemia in a diabetic patient with atypical chest pain and palpitation.
对于因未结扎的胸廓内动脉胸段分支引起的冠状动脉窃血综合征的治疗,目前尚无既定的共识。在没有缺血客观证据的情况下,不建议闭塞胸段分支。本病例报告介绍了一名患有非典型胸痛和心悸的糖尿病患者,经肱动脉对左胸廓内动脉胸段分支进行弹簧圈闭塞术,导致无症状性缺血。