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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.

DOI:10.2169/internalmedicine.56.8043
PMID:28566599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5498200/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/86a7b638f600/1349-7235-56-1363-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/b15e23a7c80f/1349-7235-56-1363-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/f0ce26b836bf/1349-7235-56-1363-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/71be30408aa4/1349-7235-56-1363-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/28c302e9ac59/1349-7235-56-1363-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/86a7b638f600/1349-7235-56-1363-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/b15e23a7c80f/1349-7235-56-1363-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/f0ce26b836bf/1349-7235-56-1363-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/71be30408aa4/1349-7235-56-1363-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/28c302e9ac59/1349-7235-56-1363-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274d/5498200/86a7b638f600/1349-7235-56-1363-g005.jpg

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引用本文的文献

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Diagnosis and Management of Isolated Superior Mesenteric Artery Dissection: A Systematic Review and Meta-Analysis.孤立性肠系膜上动脉夹层的诊断与管理：一项系统评价和荟萃分析
Korean Circ J. 2019 May;49(5):400-418. doi: 10.4070/kcj.2018.0429.

本文引用的文献

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Contemporary Review on Spontaneous Coronary Artery Dissection.自发性冠状动脉夹层的当代研究综述
J Am Coll Cardiol. 2016 Jul 19;68(3):297-312. doi: 10.1016/j.jacc.2016.05.034.
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Spontaneous coronary artery dissection-A review.自发性冠状动脉夹层：综述。
Cardiovasc Diagn Ther. 2015 Feb;5(1):37-48. doi: 10.3978/j.issn.2223-3652.2015.01.08.
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Spontaneous coronary artery dissection: prevalence of predisposing conditions including fibromuscular dysplasia in a tertiary center cohort.自发性冠状动脉夹层：三级中心队列中包括纤维肌性发育不良在内的易患疾病的患病率。
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Natural history of spontaneous isolated superior mesenteric artery dissection derived from follow-up after conservative treatment.自发性孤立性肠系膜上动脉夹层的自然病史源于保守治疗后的随访。
J Vasc Surg. 2011 Dec;54(6):1727-33. doi: 10.1016/j.jvs.2011.07.052. Epub 2011 Sep 23.
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Spontaneous dissection of right coronary artery manifested with acute myocardial infarction.右冠状动脉自发性夹层以急性心肌梗死为表现。
Open Cardiovasc Med J. 2010 Sep 3;4:178-80. doi: 10.2174/1874192401004010178.
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Clinical diagnosis of segmental arterial mediolysis: differentiation from vasculitis and other mimics.节段性动脉中层溶解症的临床诊断：与血管炎及其他相似病症的鉴别
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Spontaneous coronary artery dissection: aggressive vs. conservative therapy.自发性冠状动脉夹层：积极治疗与保守治疗
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Dissecting aneurysm of the aorta; a presentation of 15 cases and a review of the recent literature.主动脉夹层动脉瘤；15例病例报告及近期文献综述
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Spontaneous dissections of coronary arteries and acute coronary syndromes: rationale and design of the DISCOVERY, a multicenter prospective registry with a case-control group.冠状动脉自发性夹层与急性冠状动脉综合征：DISCOVERY（一项多中心前瞻性病例对照登记研究）的原理与设计
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Management of isolated spontaneous dissection of superior mesenteric artery.孤立性肠系膜上动脉自发性夹层的处理。
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