Guérin Y, Chevalier B, Desnos M, Donzeau-Gouge P, Royer T, Lancelin B, Guérot C
Service de cardiologie, hôpital Boucicaut, Paris.
Arch Mal Coeur Vaiss. 1991 Jul;84(7):991-4.
Acute dissection of the left main coronary artery during coronary angiography or angioplasty is a rare but well known complication; it is attributed to a mechanical trauma caused by the tip of the catheter guide wire. The authors present two cases of dissection at the site of coronary angioplasty with a retrograde extension to the left main stem requiring emergency coronary surgery.
冠状动脉造影或血管成形术期间左主干冠状动脉急性夹层是一种罕见但众所周知的并发症;它归因于导管导丝尖端造成的机械性创伤。作者介绍了两例冠状动脉血管成形术部位夹层病例,夹层逆行延伸至左主干,需要紧急冠状动脉手术。