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冠状动脉搭桥术后因左胸廓内动脉侧支过度生长导致的心肌缺血。

Post-coronary artery bypass grafting myocardial ischemia caused by an overgrown left internal thoracic artery side branch.

作者信息

Kim Eung Re, Oh Se Jin, Kang Hyun-Jae, Kim Ki-Bong

机构信息

Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine.

Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center.

出版信息

Korean J Thorac Cardiovasc Surg. 2014 Oct;47(5):465-7. doi: 10.5090/kjtcs.2014.47.5.465. Epub 2014 Oct 5.

DOI:10.5090/kjtcs.2014.47.5.465
PMID:25346902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4207109/
Abstract

We present a patient who developed recurrent angina after coronary artery bypass grafting (CABG). Myocardial single-photon emission computed tomography (SPECT) demonstrated deterioration in the myocardial perfusion, and coronary angiography revealed an overgrown side branch of the grafted left internal thoracic artery (ITA); otherwise, there were no significant changes compared with previous imaging studies obtained after the CABG. After percutaneous embolization of the grafted left ITA side branch, the angina was resolved and myocardial SPECT showed improved perfusion.

摘要

我们报告了一名在冠状动脉旁路移植术（CABG）后出现复发性心绞痛的患者。心肌单光子发射计算机断层扫描（SPECT）显示心肌灌注恶化，冠状动脉造影显示移植的左胸廓内动脉（ITA）侧支过度生长；否则，与CABG后先前的影像学研究相比没有显著变化。在对移植的左ITA侧支进行经皮栓塞后，心绞痛得到缓解，心肌SPECT显示灌注改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4bb/4207109/39967500fccd/kjtcv-47-465f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4bb/4207109/c679dab11434/kjtcv-47-465f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4bb/4207109/39967500fccd/kjtcv-47-465f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4bb/4207109/c679dab11434/kjtcv-47-465f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4bb/4207109/39967500fccd/kjtcv-47-465f2.jpg

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