右位心患者急性心肌梗死的经皮冠状动脉介入治疗
Percutaneous coronary intervention for acute myocardial infarction in a patient with dextrocardia.
作者信息
Vijayvergiya Rajesh, Grover Anil
机构信息
Rajesh Vijayvergiya, Anil Grover, Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh 160 012, India.
出版信息
World J Cardiol. 2010 Apr 26;2(4):104-6. doi: 10.4330/wjc.v2.i4.104.
Abstract
Situs inversus with dextrocardia is a rare congenital anomaly. There are limited published case reports of successful percutaneous coronary intervention (PCI) in these patients who have atherosclerotic coronary artery disease, especially when presenting with acute myocardial infarction. PCI is technically difficult because of mirror image dextrocardia. We hereby describe a 48-yr-old female, who had acute inferior wall myocardial infarction and underwent successful emergency primary coronary angioplasty and stenting of a proximally occluded right coronary artery. Technical details about PCI are discussed.
摘要
镜像右位心伴右位心是一种罕见的先天性异常。关于患有动脉粥样硬化性冠状动脉疾病的此类患者成功进行经皮冠状动脉介入治疗（PCI）的已发表病例报告有限，尤其是在出现急性心肌梗死时。由于镜像右位心，PCI在技术上具有挑战性。我们在此描述一名48岁女性，她患有急性下壁心肌梗死，并成功接受了紧急冠状动脉造影及对近端闭塞的右冠状动脉进行支架置入术。文中讨论了PCI的技术细节。
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