钝性创伤性右冠状动脉夹层伴急性下壁心肌梗死：治疗困境
Blunt traumatic dissection of right coronary artery presenting with acute inferior wall myocardial infarction: Dilemma in management.
作者信息
Pande Arindam, Patra Soumya, Jena Manabhanjan, Chakraborty Rabin
机构信息
Department of Cardiology, Apollo Gleneagles Hospital, Kolkata, India.
Department of Cardiology, Apollo Gleneagles Hospital, Kolkata, India.
出版信息
Indian Heart J. 2016 Sep;68 Suppl 2(Suppl 2):S276-S279. doi: 10.1016/j.ihj.2016.07.022. Epub 2016 Jul 30.
Abstract
Thirty-nine year male had a history of road traffic accident with polytrauma. At emergency room he started having chest pain with ventricular tachycardia. He was subsequentially diagnosed with right coronary artery dissection secondary to blunt trauma which is an extremely rare cause of inferior wall myocardial infarction. After some dilemmas, he was ultimately treated with intravascular ultrasound guided coronary angioplasty with stenting and had an uneventful recovery.
摘要
一名39岁男性有道路交通事故多发伤病史。在急诊室时，他开始出现胸痛并伴有室性心动过速。随后他被诊断为钝性创伤继发右冠状动脉夹层，这是下壁心肌梗死极为罕见的病因。经过一番权衡后，他最终接受了血管内超声引导下的冠状动脉血管成形术及支架置入治疗，恢复过程顺利。
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