一名患有冠状动脉动静脉瘘且无冠状动脉疾病患者的复发性心肌梗死
Recurrent Myocardial Infarction in a Patient with an Arteriovenous Coronary Fistula and No Coronary Artery Disease.
作者信息
Marcaccini Sandro, Templin Christian, Manka Robert, Stämpfli Simon F
机构信息
Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
出版信息
Int J Angiol. 2016 Jun;25(2):131-3. doi: 10.1055/s-0034-1396342. Epub 2015 Jan 12.
Myocardial infarction in the absence of coronary artery disease is a rare finding. Mechanisms leading to infarction include paradoxical embolism, coronary dissection, coronary spasm, hypercoagulable states, vasculitis, or-in presence of a coronary fistula-a steal phenomenon. We report for the first time a case of a patient with an arteriovenous coronary fistula and no coronary artery disease, suffering from three incidents of myocardial infarction in three different coronary regions-of which only one was located in the area supplied by the coronary artery connected to the fistula.
无冠状动脉疾病情况下的心肌梗死是一种罕见的发现。导致梗死的机制包括反常栓塞、冠状动脉夹层、冠状动脉痉挛、高凝状态、血管炎，或者在存在冠状动脉瘘的情况下出现窃血现象。我们首次报告了一例患有动静脉冠状动脉瘘且无冠状动脉疾病的患者，该患者在三个不同的冠状动脉区域发生了三次心肌梗死事件，其中只有一次位于与瘘管相连的冠状动脉所供应的区域。
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