Guiducci Vincenzo, Pignatelli Gianluca, Giacometti Paola, Fioroni Stefano, Manari Antonio
Division of Interventional Cardiology, S. Maria Nuova Hospital, Viale Risorgimento 80, 42100 Reggio Emilia, Italy.
J Cardiovasc Med (Hagerstown). 2007 Sep;8(9):738-40. doi: 10.2459/JCM.0b013e3280101dd2.
We report the case of a young woman referred to our hospital for anterior ST-elevation myocardial infarction to be treated with primary coronary angioplasty. Angiography showed total dissection of the left anterior descending coronary artery, which was successfully treated with primary coronary angioplasty and multiple coronary stent implantation. Spontaneous coronary artery dissection is an unusual cause of acute coronary syndrome, which occurs more frequently in women with many pregnancies (our patient had eight sons before hospital admission for acute myocardial infarction). Although technically challenging, primary coronary angioplasty is a good strategy for treating coronary artery dissection.
我们报告了一名年轻女性的病例，该患者因前壁ST段抬高型心肌梗死被转诊至我院，拟接受急诊冠状动脉血管成形术治疗。血管造影显示左前降支冠状动脉完全夹层分离，通过急诊冠状动脉血管成形术和多次冠状动脉支架植入术成功治疗。自发性冠状动脉夹层分离是急性冠状动脉综合征的一种罕见病因，在多次妊娠的女性中更常见（我们的患者在因急性心肌梗死入院前育有八个儿子）。尽管技术上具有挑战性，但急诊冠状动脉血管成形术是治疗冠状动脉夹层分离的一种良好策略。
