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急性主动脉夹层修复术后无ST段抬高的早期冠状动脉血栓形成

Early Coronary Thrombosis without ST-Segment Elevation Following Repair of Acute Aortic Dissection.

作者信息

Carino Davide, Nicolini Francesco, Romano Giorgio, Ricci Matteo, Gherli Tiziano

机构信息

General and Specialist Surgery Department, Cardiac Surgery Unit, Parma General Hospital, Parma, Italy.

出版信息

Aorta (Stamford). 2016 Aug 1;4(4):138-141. doi: 10.12945/j.aorta.2016.16.017. eCollection 2016 Aug.

DOI:10.12945/j.aorta.2016.16.017
PMID:28097197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5217732/
Abstract

Acute coronary thrombosis after emergent surgery for acute Type A aortic dissection is a rare event that can remain undiagnosed in absence of typical electrocardiogram readings. We report a case of left anterior descending artery thrombosis without ST-segment elevation three days after surgical repair, which was successfully treated with angioplasty and stenting.

摘要

急性A型主动脉夹层急诊手术后发生急性冠状动脉血栓形成是一种罕见事件，在没有典型心电图表现时可能无法诊断。我们报告1例手术修复3天后左前降支动脉血栓形成且无ST段抬高的病例，该病例经血管成形术和支架置入术成功治疗。

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本文引用的文献

1
Coronary Thrombosis and Type A Aortic Dissection.冠状动脉血栓形成与A型主动脉夹层
J Card Surg. 2015 Jul;30(7):583-5. doi: 10.1111/jocs.12577. Epub 2015 May 17.
2
Acute myocardial infarction due to an acute type A aortic dissection involving the left main coronary artery.因累及左主干冠状动脉的急性 A 型主动脉夹层导致的急性心肌梗死。
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Acute aortic dissection with intimal layer prolapse into the left ventricle.急性主动脉夹层伴内膜层脱垂入左心室。
Anesth Analg. 2007 Apr;104(4):774-6. doi: 10.1213/01.ane.0000256861.34798.63.
4
Aortic dissection involving ostium of right coronary artery as the reason of myocardial infarction.主动脉夹层累及右冠状动脉开口作为心肌梗死的原因。
Eur Heart J. 2006 Mar;27(5):518. doi: 10.1093/eurheartj/ehi525. Epub 2005 Oct 21.
5
Acute coronary syndrome following repair of aortic dissection.主动脉夹层修复术后的急性冠状动脉综合征
Eur J Cardiothorac Surg. 2004 Oct;26(4):860-2. doi: 10.1016/j.ejcts.2004.07.016.
6
Ostial stenosis of coronary arteries after complete replacement of aortic root using gelatin-resorcinol-formaldehyde glue.使用明胶-间苯二酚-甲醛胶完全置换主动脉根部后冠状动脉开口狭窄
Ann Thorac Surg. 2001 Nov;72(5):1733-5. doi: 10.1016/s0003-4975(01)02566-8.