急性孤立性冠状动脉夹层导致大面积急性心肌梗死，致使冠状动脉搭桥手术失败、体外生命支持，并成功进行心脏移植。
Acute Isolated Coronary Artery Dissection Causing Massive Acute Myocardial Infarction and Leading to Unsuccessful Coronary Bypass, Extracorporeal Life Support, and Successful Cardiac Transplantation.
作者信息
Cox Julie, Roberts William C, Araj Faris G, Jarzembowski Jamie, Guerrero-Miranda Cesar Y, Cooley Andrea, Roberts Charles S, Meyer Dan M
机构信息
Departments of Cardiac Transplantation, Internal Medicine (Division of Cardiology), Cardiac Surgery, and the Baylor Scott & White Heart and Vascular Institute, Baylor University Medical Center, Dallas, Texas.
Department of Medicine (Division of Cardiology), University of Texas Southwestern Medical Center, Dallas, Texas.
出版信息
Am J Cardiol. 2020 May 1;125(9):1446-1448. doi: 10.1016/j.amjcard.2020.01.034. Epub 2020 Feb 11.
Described herein is a 42-year-old woman who suddenly developed a spontaneous isolated coronary arterial dissection which led to massive acute myocardial infarction with shock, unsuccessful coronary artery bypass grafting, transiently successful extracorporeal life support, and finally successful heart transplant. Such a sequence of events is exceedingly rare for patients with coronary dissection and prompted this report.
本文描述了一名42岁女性，她突然发生自发性孤立性冠状动脉夹层，导致大面积急性心肌梗死并休克，冠状动脉搭桥术失败，体外生命支持暂时成功，最终心脏移植成功。这样一系列事件在冠状动脉夹层患者中极为罕见，因此促成了本报告。
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