Arrivi A, Tanzilli G, Tritapepe L, Mazzesi G, Mangieri E
Heart and Great Vessels A. Reale Second Division of Cardiology, Policlinico Umberto I, Sapienza University, Rome, Italy.
BMJ Case Rep. 2010 Dec 14;2010:bcr1020103382. doi: 10.1136/bcr.10.2010.3382.
The authors describe a case of an acute aortic dissection in a Japanese woman with long-lasting hypertension, who was referred to our cath lab for primary percutaneous coronary intervention because of an ECG feature of acute inferior myocardial infarction and systemic hypotension. A successful treatment of perioperative bleeding followed a missed diagnosis in the early stages and abciximab administration.
作者描述了一例患有长期高血压的日本女性急性主动脉夹层病例，该患者因急性下壁心肌梗死的心电图特征和全身性低血压被转诊至我们的导管室进行初次经皮冠状动脉介入治疗。在早期诊断失误并给予阿昔单抗治疗后，围手术期出血得到了成功治疗。
