Derian Wissam, Hertsberg Anna
Int J Cardiol. 2007 Jul 10;119(2):e65-7. doi: 10.1016/j.ijcard.2007.02.056. Epub 2007 Apr 26.
We report a case of an 82-year-old female presenting with symptoms of chest pain, nausea, dizziness and electrocardiographic evidence of ST segment elevation in inferior and ST depression in anterior leads. Emergent coronary angiogram showed totally occluded mid left circumflex and a totally occluded distal right coronary artery, there was no response to intracoronary nitroglycerin before intervention. Both arteries were successfully ballooned and stented. Multiple cases of simultaneous coronary occlusion has been reported and different mechanisms has been postulated but exact mechanism is still not well understood.
我们报告一例82岁女性患者，其表现为胸痛、恶心、头晕症状，心电图显示下壁导联ST段抬高及前壁导联ST段压低。急诊冠状动脉造影显示左回旋支中段完全闭塞，右冠状动脉远端完全闭塞，干预前冠状动脉内注射硝酸甘油无反应。两条动脉均成功进行了球囊扩张和支架置入。已有多例同时发生冠状动脉闭塞的病例报道，并且推测了不同的机制，但确切机制仍未完全明确。
