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冠状动脉旁路移植术治疗产后多支冠状动脉夹层

Postpartum multivessel coronary artery dissection treated with coronary artery bypass grafting.

作者信息

Alsleibi Shoukri, Dweik Majed, Afifi Mohammad, Marzuqa Bisher, Nassar Hisham

机构信息

Department of Internal Medicine, Ahli Cardiovascular Center, Al-Ahli Hospital, Hebron, Palestinian Authority.

Hadassah University Hospital, Jerusalem, Israel.

出版信息

J Cardiol Cases. 2011 Dec 8;5(1):e23-e27. doi: 10.1016/j.jccase.2011.11.003. eCollection 2012 Feb.

Abstract

Spontaneous coronary artery dissection is a rare but potentially life-threatening event associated with the peripartum period. We present a case of acute anterolateral ST elevation myocardial infarction in the postpartum period in a young woman. Thrombolytic therapy was successful, but later the patient required emergent coronary artery bypass grafting due to another acute inferolateral myocardial infarction that developed 4 h after cardiac catheterization which showed multivessel spontaneous coronary artery dissection.

摘要

自发性冠状动脉夹层是一种罕见但可能危及生命的与围产期相关的事件。我们报告一例年轻女性产后发生急性前侧壁ST段抬高型心肌梗死的病例。溶栓治疗成功,但后来患者因心脏导管检查后4小时发生的另一次急性下侧壁心肌梗死而需要紧急冠状动脉旁路移植术,该检查显示多支血管自发性冠状动脉夹层。

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本文引用的文献

1
Acute myocardial infarction associated with pregnancy.与妊娠相关的急性心肌梗死
J Am Coll Cardiol. 2008 Jul 15;52(3):171-80. doi: 10.1016/j.jacc.2008.03.049.
2
Staged therapeutic approach in spontaneous coronary dissection.自发性冠状动脉夹层的分期治疗方法
Ann Thorac Surg. 2007 May;83(5):1879-81. doi: 10.1016/j.athoracsur.2006.11.085.
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Acute myocardial infarction in pregnancy: a United States population-based study.妊娠期急性心肌梗死:一项基于美国人群的研究。
Circulation. 2006 Mar 28;113(12):1564-71. doi: 10.1161/CIRCULATIONAHA.105.576751. Epub 2006 Mar 13.
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A case of multiple spontaneous coronary artery dissections.一例多发性自发性冠状动脉夹层。
Catheter Cardiovasc Interv. 2000 Mar;49(3):318-20. doi: 10.1002/(sici)1522-726x(200003)49:3<318::aid-ccd19>3.0.co;2-c.
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Intracoronary stenting for postpartum coronary artery dissection.产后冠状动脉夹层的冠状动脉内支架置入术
Ann Intern Med. 1998 May 15;128(10):873. doi: 10.7326/0003-4819-128-10-199805150-00020.

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