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一名微血管性冠状动脉疾病患者经心肌激光血运重建术后心肌灌注改善。

Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease.

作者信息

Oskui Peyman Mesbah, Mayeda Guy S, Burstein Steven, Gheissari Ali, French William J, Thomas Joseph, Kloner Robert A

机构信息

Department of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA; Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA.

Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA; Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

出版信息

SAGE Open Med Case Rep. 2014 Mar 4;2:2050313X14526873. doi: 10.1177/2050313X14526873. eCollection 2014.

DOI:10.1177/2050313X14526873
PMID:27489642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4857340/
Abstract

We report the case of a 59-year-old woman who presented with symptoms of angina that was refractory to medical management. Although her cardiac catheterization revealed microvascular coronary artery disease, her symptoms were refractory to optimal medical management that included ranolazine. After undergoing transmyocardial revascularization, her myocardial ischemia completely resolved and her symptoms dramatically improved. This case suggests that combination of ranolazine and transmyocardial revascularization can be applied to patients with microvascular coronary artery disease.

摘要

我们报告了一例59岁女性患者,其心绞痛症状对药物治疗无效。尽管她的心脏导管检查显示为微血管性冠状动脉疾病,但她的症状对包括雷诺嗪在内的最佳药物治疗仍无反应。在接受经心肌血管重建术后,她的心肌缺血完全缓解,症状显著改善。该病例提示,雷诺嗪与经心肌血管重建术联合应用可用于微血管性冠状动脉疾病患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/01a6c00cbfe0/10.1177_2050313X14526873-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/27295c35bd9f/10.1177_2050313X14526873-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/173abc0a4b59/10.1177_2050313X14526873-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/740db71fc3d7/10.1177_2050313X14526873-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/bdef27449c6f/10.1177_2050313X14526873-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/01a6c00cbfe0/10.1177_2050313X14526873-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/27295c35bd9f/10.1177_2050313X14526873-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/173abc0a4b59/10.1177_2050313X14526873-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/740db71fc3d7/10.1177_2050313X14526873-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/bdef27449c6f/10.1177_2050313X14526873-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f414/4857340/01a6c00cbfe0/10.1177_2050313X14526873-fig5.jpg

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Improved myocardial perfusion after transmyocardial laser revascularization in a patient with microvascular coronary artery disease.一名微血管性冠状动脉疾病患者经心肌激光血运重建术后心肌灌注改善。
SAGE Open Med Case Rep. 2014 Mar 4;2:2050313X14526873. doi: 10.1177/2050313X14526873. eCollection 2014.
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Transmyocardial laser revascularization: a meta-analysis and systematic review of controlled trials.经心肌激光血运重建术:对照试验的荟萃分析与系统评价
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Comparison of transmyocardial revascularization with medical therapy in patients with refractory angina.顽固性心绞痛患者经心肌血运重建术与药物治疗的比较。
N Engl J Med. 1999 Sep 30;341(14):1029-36. doi: 10.1056/NEJM199909303411403.
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Holmium:YAG laser transmyocardial revascularization relieves angina and improves functional status.钬激光心肌血运重建术可缓解心绞痛并改善功能状态。
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Transmyocardial laser treatment denervates canine myocardium.经心肌激光治疗使犬心肌去神经支配。
J Thorac Cardiovasc Surg. 1997 Dec;114(6):883-9; discussion 889-90. doi: 10.1016/S0022-5223(97)70001-1.
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Transmyocardial laser revascularization. Histological features in human nonresponder myocardium.经心肌激光血运重建术。人类无反应心肌的组织学特征。
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A histologic study of laser-induced transmyocardial channels.激光诱导心肌通道的组织学研究。
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