产后两周26岁患者非体外循环冠状动脉搭桥术治疗自发性冠状动脉夹层：病例报告及文献复习
Off-pump coronary artery bypass grafting for spontaneous coronary dissection in a 26-year-old patient two weeks post-partum: a case report and review.
作者信息
Patel Kirti P, Sotolongo Rodolfo P, Myrick Terry W
机构信息
Department of Surgery, Memorial Hermann Baptist Hospital, Southeast Texas Cardiology Associated Cardiovascular and Thoracic Surgeons, Beaumont, Texas, USA.
出版信息
J Extra Corpor Technol. 2008 Jun;40(2):127-9.
Abstract
Spontaneous coronary artery dissections are an infrequent cause of myocardial infarction and have been reported in late stages of pregnancy and in the puerperium phase. We report a case of a 26-year-old post-partum woman who was diagnosed with a spiral coronary dissection of the left anterior descending artery, with a compromised diagonal branch. She underwent an emergent surgical revascularization without the use of cardiopulmonary bypass. The patient's in-hospital clinical course, prognosis, treatment, and potential etiologies are discussed.
摘要
自发性冠状动脉夹层是心肌梗死的罕见病因，已在妊娠晚期和产褥期有相关报道。我们报告一例26岁的产后女性病例，该患者被诊断为左前降支螺旋状冠状动脉夹层，伴对角支受累。她在未使用体外循环的情况下接受了急诊手术血运重建。文中讨论了该患者的住院临床过程、预后、治疗及潜在病因。
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