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本文引用的文献

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Extrinsic compression of left main coronary artery by the pulmonary trunk secondary to pulmonary hypertension documented using 64-slice multidetector computed tomography coronary angiography.采用64层多排螺旋计算机断层扫描冠状动脉造影术记录显示，继发于肺动脉高压的肺动脉主干对左冠状动脉主干的外在压迫。
Clin Cardiol. 2009 Aug;32(8):426-8. doi: 10.1002/clc.20457.
2
Angina associated with left main coronary artery compression in pulmonary hypertension.肺动脉高压伴左主干冠状动脉受压相关的心绞痛
J Heart Lung Transplant. 2009 May;28(5):527-30. doi: 10.1016/j.healun.2008.12.008. Epub 2009 Feb 20.
3
Life-threatening left main stenosis induced by compression from a dilated pulmonary artery.扩张的肺动脉压迫导致危及生命的左主干狭窄。
J Cardiovasc Med (Hagerstown). 2009 Feb;10(2):183-7. doi: 10.2459/JCM.0b013e32831e3f9c.
4
Acute coronary syndrome due to extrinsic compression of the left main coronary artery in a patient with severe pulmonary hypertension: successful treatment with percutaneous coronary intervention.重度肺动脉高压患者左主干冠状动脉受外在压迫导致的急性冠状动脉综合征：经皮冠状动脉介入治疗成功
Cardiovasc Revasc Med. 2008 Jan-Mar;9(1):47-51. doi: 10.1016/j.carrev.2007.07.003.
5
Left main coronary artery and aortic root compression associated with atrial septal defect and pulmonary hypertension.左冠状动脉主干及主动脉根部受压与房间隔缺损及肺动脉高压相关。
Int J Cardiol. 2007 May 31;118(2):e41-3. doi: 10.1016/j.ijcard.2006.12.043. Epub 2007 Mar 28.
6
Extrinsic compression of left main coronary artery from aneurysmal dilation of pulmonary trunk in a adolescent: involution after surgery occlusion of sinus venosus atrial septal defect and pulmonary trunk plasty for reduction.
Arq Bras Cardiol. 2007 Feb;88(2):e40-3. doi: 10.1590/s0066-782x2007000200022.
7
Images in cardiovascular medicine. Left main coronary artery compression syndrome: evaluation with 64-slice cardiac multidetector computed tomography.
Circulation. 2007 Jan 2;115(1):e7-8. doi: 10.1161/CIRCULATIONAHA.106.645622.
8
Left main coronary artery extrinsic compression syndrome: a combined intravascular ultrasound and pressure wire.左主干冠状动脉外在压迫综合征：血管内超声与压力导丝联合应用
J Invasive Cardiol. 2006 Mar;18(3):E102-4.
9
Likelihood of left main coronary artery compression based on pulmonary trunk diameter in patients with pulmonary hypertension.基于肺动脉直径的肺动脉高压患者左主干冠状动脉受压的可能性
Am J Med. 2004 Mar 15;116(6):369-74. doi: 10.1016/j.amjmed.2003.11.015.
10
Coronary artery compression; an explanation for the cause of coronary insufficiency in pulmonary hypertension.
Trans Am Coll Cardiol. 1957 Jan;7:93-103.

一例因肺动脉高压导致左主冠状动脉外部受压引起的急性冠状动脉综合征。

A case of acute coronary syndrome caused by extrinsic compression of the left main coronary artery due to pulmonary hypertension.

作者信息

Kawase Tomoharu, Ueda Hironori, Watanabe Noriaki, Motoda Chikaaki, Takeda Ryo, Mito Shinji, Tamekiyo Hiromichi, Otsuka Masaya, Okimoto Tomokazu, Toyofuku Mamoru, Hirao Hidekazu, Muraoka Yuji, Masaoka Yoshiko, Hayashi Yasuhiko

机构信息

Department of Cardiology, Cardiovascular Center, Tsuchiya General Hospital, 3-30 Nakajimacho Nakaku, Hiroshima City 730-8655, Japan.

出版信息

J Cardiol Cases. 2010 Aug 3;2(3):e154-e158. doi: 10.1016/j.jccase.2010.06.002. eCollection 2010 Dec.

DOI:10.1016/j.jccase.2010.06.002
PMID:30532818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6265230/
Abstract

Stenosis of the left main coronary artery (LMCA) due to extrinsic compression, producing symptoms of myocardial ischemia, is called left main compression syndrome. We report on a 43-year-old male with acute coronary syndrome who developed left main compression syndrome while waiting for a lung transplantation secondary to interstitial pneumonia, but underwent successful LMCA stenting as emergent treatment. Coronary angiography 3 months after the operation showed good stent patency in the LMCA, and the clinical course was favorable.

摘要

由于外部压迫导致左主冠状动脉（LMCA）狭窄并产生心肌缺血症状，称为左主压迫综合征。我们报告一例43岁男性急性冠状动脉综合征患者，该患者在等待因间质性肺炎进行肺移植时发生了左主压迫综合征，但作为紧急治疗成功进行了左主冠状动脉支架置入术。术后3个月的冠状动脉造影显示左主冠状动脉支架通畅良好，临床病程顺利。