Martí V, López Morales J, Bailén J L, Augé J M
Departamento de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona.
Rev Clin Esp. 1991 Jun;189(1):26-8.
A 32-year-old man with Hodgkin's disease presented an acute myocardial infarction following mediastinal irradiation. A complete occlusion at the level of the proximal segment of the right coronary artery and a moderate stenosis of the left circumflex coronary artery was demonstrated by selective coronary angiography. An inferior hypokinesia was seen by the ventricular angiography. We discuss the possible role of the mediastinal irradiation in the induction of coronary heart disease as well as the importance of an early diagnosis.
一名32岁的霍奇金病男性患者在纵隔放疗后出现急性心肌梗死。选择性冠状动脉造影显示右冠状动脉近端节段完全闭塞，左旋支冠状动脉中度狭窄。心室造影显示下壁运动减弱。我们讨论了纵隔放疗在冠心病诱发中的可能作用以及早期诊断的重要性。
