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高安动脉炎患者的冠状动脉和二尖瓣手术:一例报告

Coronary artery and mitral valve surgery in Takayasu's arteritis: a case report.

作者信息

Goksedef Deniz, Omeroglu Suat Nail, Ipek Gokhan

机构信息

Deparment of Cardiovascular Surgery, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.

出版信息

Ann Thorac Cardiovasc Surg. 2012;18(1):68-70. doi: 10.5761/atcs.cr.10.01646. Epub 2011 Aug 26.

Abstract

Concomitant coronary artery disease and mitral valve disease are rare in Takayasu's Arteritis. Our patient had Takayasu's Arteritis diagnosed 9 years ago. She had an inferior myocardial infarction and double stent implantation 8 months ago. She was admitted to the hospital for chest pain, and 3 vessel diseases were diagnosed with significant mitral regurgitation due to anterior leaflet prolapse. In this report, we present perioperative management of our patient who underwent coronary artery bypass grafting and mitral valve replacement.

摘要

同时合并冠状动脉疾病和二尖瓣疾病在大动脉炎中较为罕见。我们的患者9年前被诊断为大动脉炎。8个月前她发生了下壁心肌梗死并接受了双支架植入术。她因胸痛入院,被诊断为三支血管病变,并伴有因前叶脱垂导致的严重二尖瓣反流。在本报告中,我们介绍了这位接受冠状动脉旁路移植术和二尖瓣置换术患者的围手术期管理情况。

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