Department of Cardiology, Sir Run Run Shaw Hospital Affiliated to Medicine College of Zhejiang University, PR China.
Department of Cardiology, The First Affiliated Hospital of Wenzhou Medical University, PR China.
Am J Emerg Med. 2018 May;36(5):907.e1-907.e3. doi: 10.1016/j.ajem.2018.01.065. Epub 2018 Jan 31.
We present two cases of spontaneous left main stem coronary artery dissection. One was underdiagnosed with suboptimal percutaneous coronary artery intervention followed by acute vessel occlusion again during the hospitalization. The other one was identified and confirmed by intravascular ultrasound, followed by conservative medical treatment, with completed healing of SCAD during two-month follow up.
我们报告两例自发性左主干冠状动脉夹层。一例经皮冠状动脉介入治疗不充分，随后在住院期间再次发生急性血管闭塞，诊断不明确。另一例通过血管内超声检查明确诊断并确诊，随后给予保守药物治疗，在两个月的随访中 SCAD 完全愈合。
