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急性主动脉夹层病例中的左主干支架置入术：一例病例报告

Left main trunk stenting in a case of acute aortic dissection: a case report.

作者信息

Gohbara Masaomi, Endo Tsutomu, Kimura Kazuo, Tamura Kouichi

机构信息

Division of Cardiology Saiseikai Yokohamashi Nanbu Hospital Yokohama Japan.

Division of Cardiology Yokohama City University Medical Center Yokohama Japan.

出版信息

Clin Case Rep. 2017 Aug 29;5(10):1649-1653. doi: 10.1002/ccr3.1164. eCollection 2017 Oct.

DOI:10.1002/ccr3.1164
PMID:29026564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5628239/
Abstract

In cases involving unstable hemodynamics in patients with Stanford type-A acute aortic dissection involving left main trunk (LMT) compression, LMT stenting without antiplatelet agents may be a good option as a bridge to surgery.

摘要

在涉及左主干（LMT）受压的斯坦福A型急性主动脉夹层患者出现血流动力学不稳定的情况下，不使用抗血小板药物的LMT支架置入术可能是作为手术过渡的一个良好选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/77855b302ad1/CCR3-5-1649-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/5961e130da51/CCR3-5-1649-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/277fa471b5a2/CCR3-5-1649-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/6973f4b8489b/CCR3-5-1649-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/77855b302ad1/CCR3-5-1649-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/5961e130da51/CCR3-5-1649-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/277fa471b5a2/CCR3-5-1649-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/6973f4b8489b/CCR3-5-1649-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2505/5628239/77855b302ad1/CCR3-5-1649-g004.jpg

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本文引用的文献

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Pathophysiology and Surgical Treatment of Type A Acute Aortic Dissection.A型急性主动脉夹层的病理生理学与外科治疗
Ann Vasc Dis. 2016;9(3):160-167. doi: 10.3400/avd.oa.16-00075. Epub 2016 Aug 29.
2
Prognostic Value of ST-Segment Elevation in Lead aVR in Patients With Type A Acute Aortic Dissection.aVR导联ST段抬高对A型急性主动脉夹层患者的预后价值
J Am Coll Cardiol. 2015 Jun 16;65(23):2570-1. doi: 10.1016/j.jacc.2015.02.075.
3
Aortic dissection presenting as acute subtotal left main coronary artery occlusion: a case approach and review of the literature.
D-二聚体在急性主动脉夹层中的诊断价值：一项荟萃分析。
J Cardiothorac Surg. 2021 Nov 27;16(1):343. doi: 10.1186/s13019-021-01726-1.
以急性左主干冠状动脉次全闭塞为表现的主动脉夹层：病例分析与文献综述
J Clin Med Res. 2015 May;7(5):356-60. doi: 10.14740/jocmr2039w. Epub 2015 Mar 1.
4
Hybrid management of acute type A aortic dissection presenting as acute coronary syndrome.表现为急性冠状动脉综合征的急性A型主动脉夹层的综合管理
Int J Cardiol. 2013 Aug 20;167(4):e85-7. doi: 10.1016/j.ijcard.2013.03.160. Epub 2013 May 8.
5
Frequency and implication of ST-T abnormalities on hospital admission electrocardiograms in patients with type A acute aortic dissection.急性 A 型主动脉夹层患者入院时心电图 ST-T 异常的频率及其意义。
Am J Cardiol. 2013 Aug 1;112(3):424-9. doi: 10.1016/j.amjcard.2013.03.050. Epub 2013 May 1.
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Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study.基于人群的急性主动脉夹层发病率和转归及发病前危险因素控制的研究：牛津血管研究 10 年结果。
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