Shaikh Ayaz Hussain, Hanif Bashir, Hasan Khursheed, Malik Faiza
Department of Cardiology, Tabba Heart Institute, Karachi.
J Pak Med Assoc. 2010 Jun;60(6):492-4.
We are reporting the case of a 57 years old male, hypertensive, diabetic, dyslipidaemic who presented with exertional angina. He had a coronary artery bypass surgery, one year ago. He underwent left heart catheterization with graft study which showed critical native triple vessel disease with patent arterial graft to left anterior descending and occluded venous grafts to obtuse marginal and right coronary artery. The procedure was complicated by catheter induced dissection of the ascending aorta. Three days later he developed cholesterol emboli syndrome, that was treated symptomatically.
我们报告一例57岁男性病例,该患者患有高血压、糖尿病、血脂异常,表现为劳力性心绞痛。他在一年前接受了冠状动脉搭桥手术。他接受了左心导管检查及移植血管研究,结果显示存在严重的自身三支血管病变,左前降支动脉移植血管通畅,钝缘支和右冠状动脉静脉移植血管闭塞。该手术因导管导致升主动脉夹层而出现并发症。三天后,他出现了胆固醇栓塞综合征,并接受了对症治疗。