我应该如何治疗累及左前降支、中间支和左回旋支的左主干自发性夹层？
How should I treat a left main spontaneous dissection involving left anterior descending artery, intermediate branch artery and left circumflex artery?
机构信息
Department of Interventional Cardiology and Cardiology, San Raffaele Scientific Institute, Milan, Italy.
出版信息
EuroIntervention. 2013 Jun 22;9(2):285-9. doi: 10.4244/EIJV9I2A45.
PMID:23793013
Abstract
BACKGROUND
A 45-year-old woman presented to the emergency department with ST-segment elevation myocardial infarction (STEMI).
INVESTIGATION
Physical examination, electrocardiography, coronary angiography, echocardiography, cardiac computed tomography.
DIAGNOSIS
STEMI due to spontaneous left main coronary artery dissection involving left anterior descending, intermediate and left circumflex arteries.
TREATMENT
Percutaneous coronary intervention (PCI).
摘要
背景
一名 45 岁女性因 ST 段抬高型心肌梗死（STEMI）到急诊科就诊。
检查
体格检查、心电图、冠状动脉造影、超声心动图、心脏计算机断层扫描。
诊断
自发性左主干冠状动脉夹层导致左前降支、中间支和左回旋支三支血管受累的 STEMI。
治疗
经皮冠状动脉介入治疗（PCI）。
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