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一例诊断性心导管插入术中因右冠状动脉囊状动脉瘤导致栓塞性心肌梗死的病例报告。

A right coronary artery saccular aneurysm leading to an embolic myocardial infarction during diagnostic cardiac catheterization: A case report.

作者信息

Buturak Ali, Dagdelen Sinan, Okten Murat, Karabulut Hasan

机构信息

Department of Cardiology, School of Medicine, Acıbadem University, Tekin S, No. 8 Acibadem, Kadıköy, İstanbul, Turkey.

Department of Cardiovascular Surgery, Acıbadem Kadikoy Hospital, İstanbul, Turkey.

出版信息

J Cardiol Cases. 2012 Aug 9;6(4):e121-e123. doi: 10.1016/j.jccase.2012.07.008. eCollection 2012 Oct.

DOI:10.1016/j.jccase.2012.07.008
PMID:30533087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6269321/
Abstract

Coronary artery aneurysms are localized dilatations greater than 1.5 times the diameter of the adjacent segments. These rarely seen abnormalities may lead to serious life-threatening complications such as myocardial infarction, coronary perforation and death. Here, we present a case of periprocedural thromboembolic inferior myocardial infarction arising from a proximal right coronary artery saccular aneurysm during a diagnostic coronary angiography in a stable 70-year-old patient.

摘要

冠状动脉瘤是指局部扩张超过相邻节段直径1.5倍的病变。这些罕见的异常情况可能导致严重的危及生命的并发症,如心肌梗死、冠状动脉穿孔和死亡。在此,我们报告一例70岁稳定型患者在诊断性冠状动脉造影期间,因右冠状动脉近端囊状动脉瘤引发围手术期血栓栓塞性下壁心肌梗死的病例。

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本文引用的文献

1
Giant right coronary artery aneurysm presenting with non-ST elevation myocardial infarction and severe mitral regurgitation: a case report.巨大右冠状动脉瘤伴非ST段抬高型心肌梗死及严重二尖瓣反流:一例报告
J Med Case Rep. 2011 Sep 7;5:442. doi: 10.1186/1752-1947-5-442.
2
Left main coronary artery aneurysm.左冠状动脉主干动脉瘤
Rev Port Cardiol. 2011 Jan;30(1):65-72.
3
Acute intracoronary thrombosis in a normal coronary artery following coronary angiography: thromboaspiration using a guide catheter.冠状动脉造影后正常冠状动脉内的急性血栓形成:使用引导导管进行血栓抽吸
Heart Views. 2010 Jun;11(2):68-70. doi: 10.4103/1995-705X.73218.
4
Successful trapping of an organized thrombus in a coronary artery aneurysm in myocardial infarction: case report and literature review.成功捕获心肌梗死患者冠状动脉瘤内的机化血栓:病例报告及文献综述
Cardiovasc Revasc Med. 2008 Jan-Mar;9(1):52-5. doi: 10.1016/j.carrev.2007.08.006.
5
Right coronary artery aneurysm: percutaneous treatment with graft-coated stent during the acute phase of myocardial infarction.右冠状动脉瘤:心肌梗死急性期采用带覆膜支架的经皮治疗
Int J Cardiol. 2009 Jan 9;131(2):e56-8. doi: 10.1016/j.ijcard.2007.05.102. Epub 2007 Aug 20.
6
"Giant" coronary aneurysm.“巨大”冠状动脉瘤。
Am J Geriatr Cardiol. 2006 Nov-Dec;15(6):394-5. doi: 10.1111/j.1076-7460.2006.05215.x.
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Coronary artery aneurysm: a review.冠状动脉瘤:综述
Clin Cardiol. 2006 Oct;29(10):439-43. doi: 10.1002/clc.4960291005.
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Right coronary artery aneurysm.右冠状动脉瘤
Int J Cardiol. 2007 Jan 18;114(3):e122-3. doi: 10.1016/j.ijcard.2006.07.064. Epub 2006 Oct 16.
9
Usefulness of PTFE covered graft stent for the treatment of thrombus containing coronary artery aneurysm.聚四氟乙烯覆膜支架移植物治疗含血栓冠状动脉瘤的有效性
Int J Cardiol. 2006 Apr 14;108(3):424-5. doi: 10.1016/j.ijcard.2005.03.064.
10
Use of polytetrafluoroethylene-covered stent for treatment of coronary artery aneurysm.使用聚四氟乙烯覆膜支架治疗冠状动脉瘤。
Catheter Cardiovasc Interv. 2005 Oct;66(2):203-8. doi: 10.1002/ccd.20448.