一名年轻患者自发性冠状动脉夹层的诊断与管理挑战
Challenges in Diagnosis and Management of Spontaneous Coronary Artery Dissection in a Young Patient.
作者信息
Branco Beatriz J S, Sanchez Cesar, Mendoza Cesar, Magarakis Michael, Macias Alejandro Eric, Salerno Tomas A
机构信息
University of Mogi das Cruzes School of Medicine São Paulo Brazil University of Mogi das Cruzes School of Medicine, São Paulo, Brazil.
Ross University School of Medicine Ringgold New Jersey United States Ross University School of Medicine Ringgold standard institution, North Brunswick, New Jersey, United States.
出版信息
Braz J Cardiovasc Surg. 2019 Dec 1;34(6):779-782. doi: 10.21470/1678-9741-2018-0198.
Spontaneous coronary artery dissection (SCAD) is characterized by tear of the inner layer in the coronary artery, creating a false lumen between the inner and central layer. Its infrequent incidence often leads to delay in diagnosis posing challenges in management. There are currently no guidelines for the treatment of this condition. We describe an adult patient who presented with multiple episodes of ventricular fibrillation, in whom cardiac catheterization showed SCAD, treated by off-pump coronary artery bypass.
自发性冠状动脉夹层（SCAD）的特征是冠状动脉内层撕裂，在内层和中层之间形成假腔。其发病率较低，常导致诊断延迟，给治疗带来挑战。目前尚无针对这种疾病的治疗指南。我们描述了一名成年患者，该患者出现多次室颤发作，心脏导管检查显示为SCAD，通过非体外循环冠状动脉搭桥术进行治疗。
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