经皮治疗可能由溶栓治疗引发的自发性左主干冠状动脉夹层并累及左前降支和回旋支动脉。
Percutaneous treatment of spontaneous left main coronary artery dissection extending to the left anterior descending and circumflex arteries possibly triggered by thrombolytic therapy.
作者信息
Saadat Habib, Taherkhani Maryam, Safi Morteza, Vakili Hosein, Namazi Mohammad Hassan, Poorhoseini Hamid Reza, Movahed Mohammad Reza
机构信息
Cardiovascular Department of Modaress Hospital, Shahid Beheshti University;
出版信息
Int J Angiol. 2009 Fall;18(3):151-4. doi: 10.1055/s-0031-1278344.
Abstract
Spontaneous coronary artery dissection is a rare cause of myocardial infarction and the role of thrombolytic therapy in this setting is not known. A case of acute ST elevation myocardial infarction is presented, with initial positive response to thrombolytic therapy and subsequent marked worsening of ST elevation due to extensive dissection, possibly triggered by thrombolytic therapy, which was successfully treated with percutaneous coronary intervention.
摘要
自发性冠状动脉夹层是心肌梗死的一种罕见病因，溶栓治疗在这种情况下的作用尚不清楚。本文报告一例急性ST段抬高型心肌梗死病例，该病例最初对溶栓治疗有阳性反应，但随后由于广泛夹层形成导致ST段抬高明显恶化，可能是由溶栓治疗引发的，最终通过经皮冠状动脉介入治疗成功治愈。
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