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一名8岁儿童因高安动脉炎导致左冠状动脉主干闭塞。

Left main coronary occlusion from Takayasu arteritis in an 8-year-old child.

作者信息

Limsuwan A, Khowsathit P, Pienvichit P

机构信息

Department of Pediatrics, Ramathibodi Hospital, Rama 6 Road, Ratchatewi, Bangkok 10400, Thailand.

出版信息

Pediatr Cardiol. 2007 May-Jun;28(3):234-7. doi: 10.1007/s00246-006-0080-6. Epub 2007 Mar 10.

Abstract

Takayasu's arteritis (TA) is a chronic systemic inflammatory disease that usually affects the aorta and its primary branches and occasionally the coronary arteries. We report the case of an 8-year-old girl who was presented with chest pain and was referred to our institution with the presumptive diagnosis of pneumonia and sepsis. Ultimately, the patient's chest pain was attributed to myocardial infarction secondary to coronary occlusion from TA. She underwent a successful stenting of the left main coronary artery with sirolimus-eluting stent. In a review of the literature, we discuss the demographic profile, clinical and radiographic findings, and available therapeutic options.

摘要

高安动脉炎(TA)是一种慢性全身性炎症性疾病,通常累及主动脉及其主要分支,偶尔也会累及冠状动脉。我们报告了一名8岁女孩的病例,她因胸痛就诊,最初被诊断为肺炎和败血症而转诊至我院。最终,患者的胸痛被归因于高安动脉炎导致冠状动脉闭塞继发的心肌梗死。她接受了西罗莫司洗脱支架成功植入左主冠状动脉的治疗。在文献回顾中,我们讨论了患者的人口统计学特征、临床和影像学表现以及可用的治疗选择。

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