Sone Michiyoshi, Tamiya Eiji, Sesoko Masahiro, Takabe Tomosato, Koizumi Akiko, Doi Yoshio, Kanoh Tatsuji, Ebihara Isao, Koide Hikaru, Okai Iwao, Yamashita Haruyo, I Seigen, Okazaki Shinya, Sai Eiryu, Daida Hiroyuki
Int J Angiol. 2011 Jun;20(2):103-6. doi: 10.1055/s-0031-1279680.
The patient was a 65-year-old man with marked ST-elevation myocardial infarction. Cardiac catheterization revealed an occluded middle portion of the left anterior descending artery and no collateral circulation. Percutaneous coronary intervention (PCI) was performed, and ST elevation improved 5 days after PCI. Almost all electrocardiogram (ECG) findings were normal 6 months later. Echocardiographic findings were also normal. This case was very successful and unusual in that no ventricular aneurysm formed despite ST elevation continuing for a few days and that ECG and left ventricular function were nearly normal after PCI performed days after the onset in a case without collateral circulation.
该患者为一名65岁男性，患有明显的ST段抬高型心肌梗死。心脏导管检查显示左前降支动脉中段闭塞，且无侧支循环。进行了经皮冠状动脉介入治疗（PCI），PCI术后5天ST段抬高有所改善。6个月后几乎所有心电图（ECG）结果均正常。超声心动图检查结果也正常。该病例非常成功且不常见，原因在于尽管ST段抬高持续了几天，但并未形成室壁瘤，并且在发病数天后且无侧支循环的情况下进行PCI术后，心电图和左心室功能几乎正常。
