Marchetti Matteo, Scacciatella Paolo, Di Rosa Elio, Rinaldi Mauro, Marra Sebastiano
Cardiovascular and Thoracic Department, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Corso Bramante 88, Turin, Italy.
Department of Surgical Sciences, University of Turin, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Corso Bramante 88, Turin, Italy.
J Card Surg. 2015 Jul;30(7):583-5. doi: 10.1111/jocs.12577. Epub 2015 May 17.
A 74-year-old female had urgent surgery with replacement of the ascending aorta for acute type A dissection. Postprocedure, the electrocardiogram showed an ST-segment elevation myocardial infarction in the antero-lateral leads. Angiography revealed a thrombotic occlusion of the left anterior descending artery, treated successfully with bivalirudin administration, thrombus aspiration and a balloon angioplasty. This case involves the rare coexistence of acute type A aortic dissection and myocardial infarction due to coronary plaque thrombosis.
一名74岁女性因急性A型主动脉夹层接受了升主动脉置换紧急手术。术后，心电图显示前侧壁导联ST段抬高型心肌梗死。血管造影显示左前降支动脉血栓性闭塞，通过给予比伐卢定、血栓抽吸和球囊血管成形术成功治疗。该病例涉及急性A型主动脉夹层与冠状动脉斑块血栓形成导致的心肌梗死罕见并存。
