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慢性完全闭塞病变经皮冠状动脉介入治疗继发冠状动脉动静脉瘘

Coronary arteriovenous fistula secondary to percutaneous coronary intervention of chronic total occlusion.

作者信息

Narasimhan Seshasayee

机构信息

Manning Rural Referral Hospital, Cardiovascular Division, Department of Medicine, Hunter New England Health Services, Taree, NSW 2430, Australia ; Conjoint Senior Lecturer, University of New England, School of Rural Medicine, Armidale, NSW 2351, Australia ; Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, AB, Canada.

出版信息

Case Rep Vasc Med. 2013;2013:706820. doi: 10.1155/2013/706820. Epub 2013 Jun 20.

DOI:10.1155/2013/706820
PMID:23864982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3705791/
Abstract

This is a case report of a 61-year-old female presenting with ongoing chest pain in the setting of an NSTEMI with lateral ST-T changes. On attempting to open the left circumflex (LCX), it resulted in a proximal LCX dissection. The patient remained stable with no further chest pain. She was treated with IV Eptifibatide for 48 hours and restudied in 72 hours. Repeat coronary angiography showed a marginally improved proximal dissection plane with a coronary AV fistula. She was managed conservatively and discharged with a non-invasive assessment in 8 weeks. The patient had a negative stress echocardiogram and was managed with maximal medical therapy.

摘要

这是一例61岁女性的病例报告，该患者在非ST段抬高型心肌梗死（NSTEMI）伴侧壁ST-T改变的情况下持续出现胸痛。在试图开通左旋支（LCX）时，导致了LCX近端夹层。患者病情保持稳定，未再出现胸痛。她接受了48小时的静脉注射依替巴肽治疗，并在72小时后再次进行检查。重复冠状动脉造影显示近端夹层平面略有改善，并伴有冠状动脉动静脉瘘。她接受了保守治疗，并在8周后进行无创评估后出院。该患者负荷超声心动图结果为阴性，并接受了最大程度的药物治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/9e6e724f707e/CRIM.VASMED2013-706820.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/21a348776ac0/CRIM.VASMED2013-706820.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/d4af83b151c9/CRIM.VASMED2013-706820.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/69f7c86dd6d0/CRIM.VASMED2013-706820.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/86ddbd3d0c0a/CRIM.VASMED2013-706820.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/73c17456f37b/CRIM.VASMED2013-706820.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/9e6e724f707e/CRIM.VASMED2013-706820.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/21a348776ac0/CRIM.VASMED2013-706820.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/d4af83b151c9/CRIM.VASMED2013-706820.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/69f7c86dd6d0/CRIM.VASMED2013-706820.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/86ddbd3d0c0a/CRIM.VASMED2013-706820.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/73c17456f37b/CRIM.VASMED2013-706820.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a7d/3705791/9e6e724f707e/CRIM.VASMED2013-706820.006.jpg

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