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右主动脉窦单支冠状动脉四分支处多支血管经皮冠状动脉介入治疗并分叉支架置入：一例病例报告

Multivessel percutaneous coronary intervention with bifurcation stenting in a quadfurcated single coronary artery from the right aortic sinus: a case report.

作者信息

Al Jarallah Mohammed, Rajan Rajesh, Kotevski Vladimir, Dashti Raja, Moustafa Wagdy

机构信息

Department of Cardiology, Sabah Al Ahmad Cardiac Center, Al-Amiri Hospital, Gulf Road, Sharq, Kuwait City 13001, Kuwait.

Department of Radiology, Chest Disease Hospital, Gulf Road, Sharq, Kuwait City 13001, Kuwait.

出版信息

Eur Heart J Case Rep. 2019 Nov 7;3(4):1-4. doi: 10.1093/ehjcr/ytz197. eCollection 2019 Dec.

DOI:10.1093/ehjcr/ytz197
PMID:32123787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7042130/
Abstract

BACKGROUND

Quadfurcation of single coronary artery (SCA) from the right is an extremely rare anomaly and acute coronary syndrome in such patients is catastrophic.

CASE SUMMARY

We report a 56-year-old Bangladeshi male who presented with an acute inferior wall ST-elevation myocardial infarction. He was taken to the Cath lab for primary percutaneous coronary intervention which showed the presence of SCA arising from the right aortic sinus with multiple lesions including a bifurcation lesion. Percutaneous coronary intervention was done successfully in two sessions.

DISCUSSION

Tackling multiple lesions in a case of SCA with quadfurcation was challenging especially in the setting of SCA and bifurcation lesions. This is first reported case of this kind.

摘要

背景

单支冠状动脉（SCA）自右侧发出四分支是一种极其罕见的异常情况，此类患者发生急性冠状动脉综合征具有灾难性后果。

病例摘要

我们报告一名56岁的孟加拉男性，他因急性下壁ST段抬高型心肌梗死就诊。他被送往导管室进行急诊经皮冠状动脉介入治疗，结果显示SCA起源于右主动脉窦，存在多个病变，包括一个分叉病变。经皮冠状动脉介入治疗分两个阶段成功完成。

讨论

处理SCA四分支病例中的多个病变具有挑战性，尤其是在SCA和分叉病变的情况下。这是此类病例的首例报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/7f57fd3c506d/ytz197f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/d361762b52c6/ytz197f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/f58c1cb26f4a/ytz197f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/9ba468ee64fe/ytz197f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/e98f589e64c0/ytz197f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/7f57fd3c506d/ytz197f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/d361762b52c6/ytz197f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/f58c1cb26f4a/ytz197f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/9ba468ee64fe/ytz197f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/e98f589e64c0/ytz197f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e454/7042130/7f57fd3c506d/ytz197f5.jpg

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