冠状动脉和肠系膜上动脉同时发生的特发性夹层
Simultaneous Idiopathic Dissections of the Coronary and Superior Mesenteric Arteries.
作者信息
Nishi Masato, Sueta Daisuke, Miyazaki Takashi, Sakamoto Kenji, Yamamoto Eiichiro, Izumiya Yasuhiro, Tsujita Kenichi, Kojima Sunao, Kaikita Koichi, Ikeda Osamu, Yamashita Yasuyuki, Hokimoto Seiji
机构信息
Department of Cardiovascular Medicine, Kumamoto University Graduate School of Medical Sciences, Japan.
Department of Diagnostic Radiology, Kumamoto University Graduate School of Medical Sciences, Japan.
出版信息
Intern Med. 2017;56(11):1363-1367. doi: 10.2169/internalmedicine.56.8043. Epub 2017 Jun 1.
A 49-year-old man complained of sudden upper abdominal pain but was not given a definitive diagnosis. The day after he was discharged, he noticed left chest pain. An in-depth electrocardiogram indicated acute myocardial infarction, and emergent coronary angiography revealed 99% stenosis of his left coronary artery. An intravascular ultrasound revealed spontaneous coronary artery dissection (SCAD), and the lesion was successfully stented. In an atherosclerosis screening, superior mesenteric artery dissection (SMAD) was confirmed, after which the lesion was successfully stented. This case suggests that SCAD and SMAD might have similar pathological backgrounds.
一名49岁男性主诉突发上腹部疼痛，但未得到明确诊断。出院后第二天，他出现左胸痛。深度心电图显示急性心肌梗死，紧急冠状动脉造影显示左冠状动脉99%狭窄。血管内超声显示自发性冠状动脉夹层（SCAD），病变成功置入支架。在动脉粥样硬化筛查中，确诊为肠系膜上动脉夹层（SMAD），随后病变成功置入支架。该病例提示，SCAD和SMAD可能具有相似的病理背景。
Zotero 插件