Department of Interventional Cardiology, S. Ambrogio Clinical Institute, Milan, Italy.
EuroIntervention. 2011 Mar;6(8):1011-6. doi: 10.4244/EIJV6I8A174.
A 60-year-old man with relapsing unstable angina a year aftger an anterior acute myocardial infarction treated with PCI to proximal left anterior descending (LAD) and proximal intermediate branch (IB), resulting in a severely impaired LV function.
Physical examination, laboratorytest, transthoracic echocardiogram, rest ECG, coronary angiography.
Severe in-stent restenosis to IB, with a bulky plaque involving distal left main, obtuse marginal and proximal circumflex.
Percutaneous coronary intervention/coronary artery bypass grafting.
一名 60 岁男性，一年前因前壁急性心肌梗死接受经皮冠状动脉介入治疗（PCI）至左前降支（LAD）近端和中间支（IB）近端，随后出现复发性不稳定型心绞痛，导致左心室功能严重受损。
体格检查、实验室检查、经胸超声心动图、静息心电图、冠状动脉造影。
IB 段严重支架内再狭窄，伴有累及左主干远端、钝缘支和回旋支近端的大斑块。
经皮冠状动脉介入治疗/冠状动脉旁路移植术。
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