冠状动脉-锁骨下动脉-椎动脉盗血综合征所致前壁心肌梗死经锁骨下动脉支架置入术成功治疗

Anterolateral myocardial infarction induced by coronary-subclavian-vertebral steal syndrome successfully treated with stenting of the subclavian artery.

作者信息

Pappy Reji, Kalapura Tomachan, Hennebry Thomas A

机构信息

Department of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.

出版信息

J Invasive Cardiol. 2007 Aug;19(8):E242-5.

PMID:17712215

Abstract

A female patient with graft-dependent coronary circulation presented with vertebrobasilar insufficiency and NSTEMI (Non-ST-Elevation Myocardial Infarction) related to a 100 percent stenosis of the left subclavian artery. Our review of the medical literature indicates that this is the first reported case in which a patient presented with an anterolateral NSTEMI and dizziness with subsequent angiographic evidence of both coronary subclavian and vertebral subclavian steal syndromes successfully treated with angioplasty and stenting of the left subclavian artery without any intervention in the coronary arterial tree.

摘要

一名依赖移植冠状动脉循环的女性患者出现椎基底动脉供血不足和非ST段抬高型心肌梗死（NSTEMI），这与左锁骨下动脉100%狭窄有关。我们对医学文献的回顾表明，这是首例报告的病例，该患者出现前外侧NSTEMI和头晕，随后血管造影显示冠状动脉锁骨下窃血综合征和椎动脉锁骨下窃血综合征，通过对左锁骨下动脉进行血管成形术和支架置入术成功治疗，而未对冠状动脉树进行任何干预。