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血管成形术期间冠状动脉穿孔导致心包积血。外科诊断

[Hemopericardium caused by coronary perforation during angioplasty. A surgical diagnosis].

作者信息

Himbert D, Juliard J M, Steg P G, Gourgon R

机构信息

Service de cardiologie, hôpital Bichat, Paris.

出版信息

Arch Mal Coeur Vaiss. 1991 Apr;84(4):575-7.

PMID:2064518
Abstract

A case of haemopericardium occurring during angioplasty of the left anterior descending artery complicated by an occlusive dissection is reported. The haemopericardium was diagnosed and evacuated during surgical myocardial revascularisation indicated by the failure of angioplasty. This complication, though rare, underlines the necessity of a real surgical stand-by for this procedure.

摘要

报道了1例在左前降支血管成形术期间发生心包积血并伴有闭塞性夹层的病例。心包积血在血管成形术失败提示需进行外科心肌血运重建时被诊断出来并予以引流。这种并发症虽然罕见,但强调了该手术真正具备外科备用方案的必要性。

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