使用药物洗脱支架经皮治疗自发性左主干冠状动脉夹层。
Percutaneous treatment of spontaneous left main coronary artery dissection using drug-eluting stent.
作者信息
Graidis Christos, Dimitriadis Dimokritos, Karasavvidis Vasileios, Dimitriadis Georgios, Argyropoulou Efstathia, Economou Fotios, Spiromitros George, Antoniou Antonios, Karakostas Georgios
机构信息
Department of Interventional Cardiology, Kyanous Stavros Hospital, Vizyis-Vyzantos 1 Street, Thessaloniki 54636, Greece.
出版信息
BMC Cardiovasc Disord. 2014 Dec 17;14:191. doi: 10.1186/1471-2261-14-191.
BACKGROUND
Spontaneous coronary artery dissection is a rare cause of ischemic heart disease and sudden death. Prompt diagnosis is of paramount importance, especially in cases when it manifests with ST elevation myocardial infarction (STEMI).
CASE PRESENTATION
We report a case of a 42 year-old woman, who presented with an anterior STEMI in a hospital without on-site percutaneous coronary intervention (PCI) facilities. She was transferred to our hospital and coronary angiography revealed a spontaneous dissection of the left main stem coronary artery (LM). The dissection was successfully managed with PCI.
CONCLUSION
PCI appears to be a potential option, for the treatment of selected cases with spontaneous LM dissection, presenting with an acute coronary syndrome.
背景
自发性冠状动脉夹层是缺血性心脏病和猝死的罕见病因。及时诊断至关重要，尤其是在其表现为ST段抬高型心肌梗死（STEMI）的情况下。
病例报告
我们报告一例42岁女性病例，该患者在一家没有现场经皮冠状动脉介入治疗（PCI）设备的医院出现前壁STEMI。她被转至我院，冠状动脉造影显示左主干冠状动脉（LM）自发性夹层。通过PCI成功处理了该夹层。
结论
对于表现为急性冠状动脉综合征的自发性LM夹层的特定病例，PCI似乎是一种潜在的治疗选择。
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