一名78岁女性发生自发性三支冠状动脉夹层，经抗凝及药物治疗后血管造影显示病情缓解。
Spontaneous triple coronary artery dissection in a 78-year-old woman resolved angiographically with anticoagulation and medical management.
作者信息
Backman Warren David, Bakhai Ameet
机构信息
University College London, London, UK.
出版信息
BMJ Case Rep. 2013 Jul 22;2013:bcr2013008751. doi: 10.1136/bcr-2013-008751.
A 78-year-old woman who presented with chest pain, on a background of hypertension and varicose veins, was found to have a non-ST segment elevation myocardial infarction with coronary angiography demonstrating dissections of all three major arteries distally. She was treated medically, with anticoagulation and risk factor management as the primary therapies. This is the first reported case of triple spontaneous coronary artery dissection treated medically, along with angiographic follow-up demonstrating complete resolution.
一名78岁女性，有高血压和静脉曲张病史，因胸痛就诊，冠状动脉造影显示三支主要动脉远端均有夹层，诊断为非ST段抬高型心肌梗死。她接受了药物治疗，主要治疗方法是抗凝和危险因素管理。这是首例报道的经药物治疗的自发性冠状动脉三支夹层病例，血管造影随访显示夹层完全消退。
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