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钝性胸部创伤后创伤性冠状动脉夹层伴继发性急性心肌梗死

Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma.

作者信息

Allemeersch Gert-Jan, Muylaert Caroline, Nieboer Koenraad

机构信息

UZ Brussel, BE.

出版信息

J Belg Soc Radiol. 2018 Jan 4;102(1):4. doi: 10.5334/jbr-btr.1379.

DOI:10.5334/jbr-btr.1379
PMID:30128419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6095083/
Abstract

We report the case of a 41-year-old male with traumatic coronary artery dissection after a high-speed motor vehicle collision. Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib fractures. There was no pericardial hemorrhage, haemothorax or pneumothorax. No intra-abdominal lesions were found. A 12-lead electrocardiogram on arrival showed an acute myocardial infarction. Emergency angiography showed complete dissection of the right coronary artery without reflow after placement of 6 coronary stents. The patient passed away the day after. In retrospective, the right coronary dissection was visible on the trauma CT-scan.

摘要

我们报告一例41岁男性在高速机动车碰撞后发生创伤性冠状动脉夹层的病例。计算机断层扫描成像显示多处颅内硬膜下和蛛网膜下出血、颅底骨折以及多处双侧肋骨骨折。没有心包出血、血胸或气胸。未发现腹部内病变。入院时的12导联心电图显示急性心肌梗死。紧急血管造影显示右冠状动脉完全夹层，在置入6个冠状动脉支架后仍无血流灌注。患者于次日死亡。回顾发现，创伤CT扫描上可见右冠状动脉夹层。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d8/6095083/484d0e9a2e7a/jbsr-102-1-1379-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d8/6095083/9b01e8cf803c/jbsr-102-1-1379-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d8/6095083/484d0e9a2e7a/jbsr-102-1-1379-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d8/6095083/9b01e8cf803c/jbsr-102-1-1379-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d8/6095083/484d0e9a2e7a/jbsr-102-1-1379-g3.jpg

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J Emerg Med. 2012 Oct;43(4):e239-43. doi: 10.1016/j.jemermed.2010.04.019. Epub 2010 Jun 7.
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Survey of aorta and coronary arteries with prospective ECG-triggered 100-kV 64-MDCT angiography.采用前瞻性心电图触发的100 kV 64排螺旋CT血管造影术对主动脉和冠状动脉进行检查。
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Case of the month: Right coronary artery dissection following sports-related blunt trauma.
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Trauma Case Rep. 2022 Oct 4;42:100698. doi: 10.1016/j.tcr.2022.100698. eCollection 2022 Dec.
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Traumatic left main coronary artery dissection in a young adult following blunt chest trauma - A case report.一名年轻成人钝性胸部创伤后创伤性左主干冠状动脉夹层——病例报告
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Blunt traumatic coronary artery dissection: A case study.钝性创伤性冠状动脉夹层：病例报告
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Multivessel Traumatic Coronary Artery Dissection After a Motor Vehicle Accident With Successful Percutaneous Coronary Intervention.机动车事故后多支创伤性冠状动脉夹层伴经皮冠状动脉介入治疗成功
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