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左乳内动脉移植血管开口狭窄的经皮治疗

Percutaneous management of ostial stenosis of the left internal mammary artery graft.

作者信息

Datta Tanuka, Gibreal Mohammed, Mazhari Ramesh, Solomon Allen J

机构信息

Department of Internal Medicine, The George Washington University, Washington, DC 20037, USA.

Department of Internal Medicine, Division of Cardiology, The George Washington University, Washington, DC 20037, USA.

出版信息

Oxf Med Case Reports. 2018 Jan 17;2018(1):omx082. doi: 10.1093/omcr/omx082. eCollection 2018 Jan.

DOI:10.1093/omcr/omx082
PMID:29670747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5903413/
Abstract

A 61-year-old man, who had undergone coronary artery bypass surgery 10 years earlier, presented with a non-ST segment elevation myocardial infarction. He was treated with medical therapy and taken to the Cardiac Catheterization Laboratory. A left heart catheterization demonstrated an ostial stenosis in the left internal mammary artery graft, which was felt to be the culprit lesion. This was successfully repaired with a drug eluting stent. This case is presented as an unusual location for a de novo coronary stenosis. The pathophysiology of these lesions is not well understood.

摘要

一名61岁男性，10年前接受过冠状动脉搭桥手术，现出现非ST段抬高型心肌梗死。他接受了药物治疗并被送往心脏导管实验室。左心导管检查显示左乳内动脉移植血管开口处狭窄，认为这是罪犯病变。使用药物洗脱支架成功修复了该病变。本文报告此例冠状动脉新发狭窄的罕见部位。这些病变的病理生理学尚不完全清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/bb20778a32c7/omx082f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/3ea413327fbd/omx082f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/f9a782657c0f/omx082f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/b3312d74e022/omx082f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/bb20778a32c7/omx082f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/3ea413327fbd/omx082f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/f9a782657c0f/omx082f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/b3312d74e022/omx082f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7437/5903413/bb20778a32c7/omx082f04.jpg

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