一例自发性冠状动脉夹层并发游离壁破裂病例
A Case of Spontaneous Coronary Artery Dissection Complicated by Free Wall Rupture.
作者信息
Alzayer Hussain, Bossard Matthias, Ahsan Shoeb, Tsang Michael, Whitlock Richard, Sheth Tej
机构信息
Division of Cardiology, Hamilton General Hospital, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Division of Cardiac Surgery, Hamilton General Hospital, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
出版信息
Can J Cardiol. 2017 Dec;33(12):1736.e13-1736.e15. doi: 10.1016/j.cjca.2017.09.021. Epub 2017 Oct 6.
Spontaneous coronary artery dissection (SCAD) is an unusual and underdiagnosed cause of nonatherosclerotic acute coronary syndrome (ACS). Patients might present in various ways including chest pain, ST-elevation ACS, ventricular arrhythmia, and sudden cardiac death. In a few reports, it manifested initially as cardiac tamponade. The association of SCAD with free wall rupture is extremely rare. We present a unique case of a 70-year-old woman who initially presented with non-ST elevation ACS and was found to have SCAD on angiography, which was subsequently complicated by cardiac tamponade with free wall rupture.
自发性冠状动脉夹层（SCAD）是一种非动脉粥样硬化性急性冠状动脉综合征（ACS）的罕见且诊断不足的病因。患者可能有多种表现方式，包括胸痛、ST段抬高型ACS、室性心律失常和心源性猝死。在一些报告中，其最初表现为心脏压塞。SCAD与游离壁破裂的关联极为罕见。我们报告了一例独特的病例，一名70岁女性最初表现为非ST段抬高型ACS，血管造影显示为SCAD，随后并发心脏压塞伴游离壁破裂。
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