常染色体显性多囊肾病患者的自发性冠状动脉夹层：一例报告
Spontaneous coronary artery dissection in a patient with autosomal dominant polycystic kidney disease: a case report.
作者信息
Grover Peeyush, Fitzgibbons Timothy P
机构信息
Department of Medicine, Cardiovascular Division, University of Massachusetts Medical School, Worcester, MA, 01605, USA.
Cardiovascular Medicine, Umass Memorial Medical Center, Worcester, MA, 01605, USA.
出版信息
J Med Case Rep. 2016 Mar 10;10:62. doi: 10.1186/s13256-016-0832-8.
BACKGROUND
Spontaneous coronary artery dissection is an uncommon syndrome. Its prevalence among patients with polycystic kidney disease is very rare, with no previously reported involvement of the right posterior descending coronary artery.
CASE PRESENTATION
We describe the case of a middle-aged Caucasian woman with polycystic kidney disease who presented with a non-ST elevation myocardial infarction. Cardiac catheterization revealed a dissection of her right posterior descending coronary artery. She was treated with dual antiplatelet therapy and had a favorable outcome.
CONCLUSION
We report a rare and interesting case of spontaneous coronary artery dissection of the right posterior descending coronary artery in a patient with polycystic kidney disease. It is important to consider spontaneous coronary artery dissection in the differential diagnosis of patients with polycystic kidney disease who present with an acute coronary syndrome.
背景
自发性冠状动脉夹层是一种罕见的综合征。其在多囊肾病患者中的患病率非常低，此前尚无右冠状动脉后降支受累的报道。
病例报告
我们描述了一名患有多囊肾病的中年白种女性，她表现为非ST段抬高型心肌梗死。心脏导管检查显示其右冠状动脉后降支夹层。她接受了双联抗血小板治疗，预后良好。
结论
我们报告了一例多囊肾病患者右冠状动脉后降支自发性冠状动脉夹层的罕见且有趣的病例。对于出现急性冠状动脉综合征的多囊肾病患者，在鉴别诊断中考虑自发性冠状动脉夹层很重要。
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