Hansen Kirstine Nørregaard, Antonsen Lisbeth, Jensen Lisette Okkels
Department of Cardiology, Odense University Hospital, Odense, Denmark.
Department of Cardiology, Odense University Hospital, Odense, Denmark.
Cardiovasc Revasc Med. 2018 Apr-May;19(3 Pt B):376-379. doi: 10.1016/j.carrev.2017.08.017. Epub 2017 Sep 5.
A 60-year old woman with non-ST-segment elevation myocardial infarction, underwent coronary angiogram combined with optical coherence tomography (OCT) revealing a long dissection in the right coronary artery. The patient experienced peri-procedural chest pain, the electrocardiogram showed ST-segment elevations, and compromised coronary blood flow, why mechanical revascularization with percutaneous coronary intervention (PCI) was indicated. At 1-month follow-up, OCT revealed early, competent vascular healing, and a distal stenosis was treated with PCI. The patient has been asymptomatic since the procedure for three years.
一名60岁患有非ST段抬高型心肌梗死的女性接受了冠状动脉造影联合光学相干断层扫描（OCT），结果显示右冠状动脉存在长段夹层。患者在围手术期出现胸痛，心电图显示ST段抬高，冠状动脉血流受损，因此需要进行经皮冠状动脉介入治疗（PCI）进行机械性血运重建。在1个月的随访中，OCT显示血管早期愈合良好，随后对一处远端狭窄进行了PCI治疗。自手术以来，患者三年来一直无症状。
