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一名患有血栓闭塞性脉管炎患者的冠状动脉夹层

Coronary Artery Dissection in a Patient with Buerger's Disease.

作者信息

Tekin Ali İhsan, Arslan Ümit

机构信息

Health Sciences University Kayseri Education and Research Hospital, Kayseri, Turkey.

Health Sciences University Erzurum Education and Research Hospital, Erzurum, Turkey.

出版信息

Braz J Cardiovasc Surg. 2019 Jan-Feb;34(1):114-117. doi: 10.21470/1678-9741-2018-0136.

DOI:10.21470/1678-9741-2018-0136
PMID:30810686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6385819/
Abstract

Buerger's disease, vasculitis of small and medium-sized blood vessels, is a non-atherosclerotic and progressive occlusive condition which frequently involves the distal part of the limbs. The occlusion of coronary arteries in Buerger's disease is a rare condition; however, coronary artery dissection has not been reported previously. Therefore, this paper presents a 45-year-old man who developed coronary artery dissection associated with Buerger's disease. The patient was treated successfully with coronary artery bypass grafting with the left internal mammary artery to the left anterior descending artery, and saphenous vein graft to the right coronary artery.

摘要

血栓闭塞性脉管炎是一种中小血管的血管炎,是一种非动脉粥样硬化性进行性闭塞性疾病,常累及四肢远端。血栓闭塞性脉管炎累及冠状动脉是一种罕见情况;然而,此前尚未有冠状动脉夹层的报道。因此,本文介绍了一名45岁男性,其发生了与血栓闭塞性脉管炎相关的冠状动脉夹层。该患者通过左乳内动脉至左前降支动脉的冠状动脉搭桥术以及大隐静脉至右冠状动脉的搭桥术成功接受了治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce74/6385819/d4b05acb5f9a/rbccv-34-01-0114-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce74/6385819/67fd3941737e/rbccv-34-01-0114-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce74/6385819/0a5a6228cb30/rbccv-34-01-0114-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce74/6385819/d4b05acb5f9a/rbccv-34-01-0114-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce74/6385819/67fd3941737e/rbccv-34-01-0114-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce74/6385819/0a5a6228cb30/rbccv-34-01-0114-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce74/6385819/d4b05acb5f9a/rbccv-34-01-0114-g03.jpg

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1
Coronary Artery Dissection in a Patient with Buerger's Disease.一名患有血栓闭塞性脉管炎患者的冠状动脉夹层
Braz J Cardiovasc Surg. 2019 Jan-Feb;34(1):114-117. doi: 10.21470/1678-9741-2018-0136.
2
Beyond peripheral arteries in Buerger's disease: angiographic considerations in thromboangiitis obliterans.血栓闭塞性脉管炎中除周围动脉外的情况:血栓闭塞性脉管炎的血管造影考量
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3
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Thromboangiitis obliterans (Buerger's disease) in a saphenous vein arterial graft.大隐静脉动脉移植物中的血栓闭塞性脉管炎(伯格氏病)
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[Buerger's disease and coronary disease].
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Surgical treatment of isolated left anterior descending coronary stenosis. Comparison of left internal mammary artery and venous autograft at 18 to 20 years of follow-up.孤立性左前降支冠状动脉狭窄的外科治疗。18至20年随访中左乳内动脉与自体静脉移植物的比较。
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Acute myocardial infarction and left ventricular thrombus in a young male with thromboangiitis obliterans: a case report and literature review.一名患有血栓闭塞性脉管炎的年轻男性发生急性心肌梗死及左心室血栓形成:病例报告及文献复习
J Cardiothorac Surg. 2025 May 17;20(1):231. doi: 10.1186/s13019-025-03383-0.
2
Visceral bed involvement in thromboangiitis obliterans: a systematic review.血栓闭塞性脉管炎的内脏床受累:一项系统评价
Vasc Health Risk Manag. 2019 Aug 15;15:317-353. doi: 10.2147/VHRM.S182450. eCollection 2019.

本文引用的文献

1
Treatment of Thromboangiitis Obliterans Using Smoking Cessation and Far-infrared Therapy: A Case Study.戒烟与远红外疗法治疗血栓闭塞性脉管炎:病例报告
Ostomy Wound Manage. 2017 Jul;63(7):20-23.
2
The spectrum of spontaneous coronary artery dissection: illustrated review of the literature.自发性冠状动脉夹层的谱系:文献综述图示
Acta Cardiol. 2017 Dec;72(6):599-609. doi: 10.1080/00015385.2017.1309095. Epub 2017 Jun 28.
3
Spontaneous coronary artery dissection and its association with heritable connective tissue disorders.
自发性冠状动脉夹层及其与遗传性结缔组织疾病的关联。
Heart. 2016 Jun 1;102(11):876-81. doi: 10.1136/heartjnl-2015-308645. Epub 2016 Feb 10.
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Spontaneous coronary artery dissection.自发性冠状动脉夹层
J Card Surg. 2012 Jan;27(1):56-9. doi: 10.1111/j.1540-8191.2011.01354.x. Epub 2011 Dec 13.
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Spontaneous coronary artery dissection: current insights and therapy.自发性冠状动脉夹层:当前的认识和治疗。
Neth Heart J. 2008 Oct;16(10):344-9. doi: 10.1007/BF03086176.
6
Beyond peripheral arteries in Buerger's disease: angiographic considerations in thromboangiitis obliterans.血栓闭塞性脉管炎中除周围动脉外的情况:血栓闭塞性脉管炎的血管造影考量
Catheter Cardiovasc Interv. 2002 Nov;57(3):363-6. doi: 10.1002/ccd.10330.
7
Involvement of the coronary artery in a patient with thromboangiitis obliterans. A case report.
Heart Vessels. 2002 Jul;16(5):201-3. doi: 10.1007/s003800200023.
8
Amounts of coronary arterial luminal narrowing and composition of the material causing the narrowing in Buerger's disease.血栓闭塞性脉管炎中冠状动脉管腔狭窄的程度及导致狭窄的物质组成。
Am J Cardiol. 1993 Feb 15;71(5):486-90. doi: 10.1016/0002-9149(93)90467-q.