Benjelloun Bennani H, Boukili Makhoukhi Y, Champagne S, Dubois-Randé J-L
CHU Henri-Mondor, 51, avenue du Maréchal-de-Tassigny, 94010 Créteil, France.
Ann Cardiol Angeiol (Paris). 2010 Aug;59(4):238-42. doi: 10.1016/j.ancard.2010.05.001. Epub 2010 Jun 15.
Acute myocardial infarction due to simultaneous occlusion of two major coronary arteries is a rare phenomenon. We report a case of a 53-year-old man with many cardiovascular risk factors, who presented to the emergency with an acute coronary syndrome with ST segment elevation in anterior and inferior leads, complicated by atrioventricular block and cardiogenic shock. The coronary angiogram showed proximal occlusion of left circumflex artery and right coronary artery. Both arteries were treated successfully with thrombectomy followed by coronary stent implantation. Some similar cases have been reported, but the exact physiopathological mechanism is unknown. There is no clear strategy established for the therapeutic coverage, however, percutaneous revascularisation seems to be actually appropriated treatment.
两条主要冠状动脉同时闭塞所致的急性心肌梗死是一种罕见现象。我们报告一例53岁男性病例，该患者有多种心血管危险因素，因急性冠状动脉综合征伴前壁和下壁导联ST段抬高就诊于急诊科，并发房室传导阻滞和心源性休克。冠状动脉造影显示左旋支动脉和右冠状动脉近端闭塞。两条动脉均成功进行了血栓切除术，随后植入了冠状动脉支架。已有一些类似病例报道，但确切的生理病理机制尚不清楚。目前尚未确立明确的治疗策略，然而，经皮血管重建术似乎是切实可行的治疗方法。
