Department of Cardiology, University of Erlangen-Nürnberg, Ulmenweg 18, 91054 Erlangen, Germany.
J Cardiovasc Comput Tomogr. 2010 May-Jun;4(3):215-7. doi: 10.1016/j.jcct.2010.01.005. Epub 2010 Jan 11.
An 82-year-old patient developed right heart failure in the days after surgical aortic valve replacement. Coronary CT angiography showed a high-grade stenosis of the mid-right coronary artery. Adjacent suture material seen on noncontrast CT suggested that the lesion was related to surgical closure of the right atrial cannulation site. Invasive angiography confirmed the stenosis, and percutaneous intervention was successfully performed.
一位 82 岁的患者在主动脉瓣置换术后几天出现右心衰竭。冠状动脉 CT 血管造影显示右冠状动脉中段重度狭窄。非增强 CT 上可见邻近缝线材料,提示病变与右心房插管部位的手术闭合有关。血管内造影证实了狭窄,并成功进行了经皮介入治疗。