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右冠状动脉经皮介入治疗期间对瓦氏窦冠状窦的广泛解剖——病例报告及文献综述

Extensive dissection to the coronary sinus of valsalva during percutaneous intervention in right coronary artery-a case report and literature review.

作者信息

Li Li, Cao Yunshan

机构信息

Department of Cardiovascular Medicine, People's Hospital of Gansu Province, Lanzhou 730000, P.R. China.

出版信息

Clin Med Insights Cardiol. 2011 Apr 12;5:41-4. doi: 10.4137/CMC.S6447.

DOI:10.4137/CMC.S6447
PMID:21573038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3091417/
Abstract

Severe retrograde dissection extending into the sinus of Valsalva is a rare complication during percutaneous coronary intervention (PCI), but life threatening. There is some literature about this complication, but this particular complication has not been previously reported in China. We present a case of coronary artery dissection during a PCI in which progressively extended retrogradely into the sinus of valsalva, and was successfully treated with stenting without an operation.

摘要

严重的逆行性夹层扩展至主动脉瓣窦是经皮冠状动脉介入治疗（PCI）期间罕见但危及生命的并发症。关于这一并发症有一些文献报道，但在中国此前尚未报道过这种特殊的并发症。我们报告一例PCI期间冠状动脉夹层病例，该夹层逐渐逆行扩展至主动脉瓣窦，并成功通过支架置入治疗，未进行手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/3893e0d3bb22/cmc-2011-041f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/1e7aad6ec7b1/cmc-2011-041f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/ac772097e35b/cmc-2011-041f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/571eb51dd0e8/cmc-2011-041f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/3893e0d3bb22/cmc-2011-041f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/1e7aad6ec7b1/cmc-2011-041f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/ac772097e35b/cmc-2011-041f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/571eb51dd0e8/cmc-2011-041f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781b/3091417/3893e0d3bb22/cmc-2011-041f4.jpg

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本文引用的文献

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Simultaneous right and left coronary occlusion caused by an extensive dissection to the coronary sinus of Valsalva during percutaneous intervention in right coronary artery.经皮右冠状动脉介入治疗期间，因广泛累及瓦尔萨尔瓦窦（Valsalva窦）的冠状动脉夹层导致左右冠状动脉同时闭塞。
Int Heart J. 2009 Sep;50(5):663-7. doi: 10.1536/ihj.50.663.
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Dissection of the right coronary ostium and sinus of Valsalva during right coronary artery angioplasty.右冠状动脉血管成形术期间对右冠状动脉开口和主动脉窦进行解剖。
J Invasive Cardiol. 2008 Sep;20(9):E277-80.
3
Percutaneous treatment of severe retrograde dissection of the circumflex artery involving left main stem and extending into the sinus of Valsalva.
经皮介入治疗期间右冠状动脉穿孔延伸至主动脉窦的冠状窦，使用聚四氟乙烯覆膜支架成功封堵：一例病例报告
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4
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J Tehran Heart Cent. 2016 Jan 13;11(1):34-7.
经皮治疗累及左主干并延伸至主动脉瓣窦的回旋支严重逆行夹层。
Int J Cardiol. 2008 Nov 28;130(3):494-6. doi: 10.1016/j.ijcard.2007.05.109. Epub 2007 Aug 15.
4
Spontaneous aortic dissection limited to sinus of Valsalva and involving the left main coronary artery.局限于主动脉瓣窦并累及左冠状动脉主干的自发性主动脉夹层。
Int J Cardiovasc Imaging. 2007 Aug;23(4):455-8. doi: 10.1007/s10554-006-9164-x. Epub 2006 Oct 5.
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Successful treatment by percutaneous stent deployment of severe retrograde dissection of the right coronary artery extending into the sinus of Valsalva and ascending aorta.
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6
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