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嘲笑性封堵自发性冠状动脉夹层的“降落伞效应”:血管内影像学带来的启示。

A 'parachute effect' mockingly sealing a spontaneous coronary artery dissection: what we have learnt from intravascular imaging.

机构信息

Interventional cardiology, S Antonio Abate Hospital, Erice, TP, Italy.

出版信息

Future Cardiol. 2021 Jan;17(1):95-99. doi: 10.2217/fca-2019-0068. Epub 2020 Jun 25.

DOI:10.2217/fca-2019-0068
PMID:32583686
Abstract

Spontaneous coronary artery dissection is often underdiagnosed. It accounts for a certain amount of acute coronary syndromes. Intravascular imaging, either intravascular ultrasound or optical coherence tomography, represents a relevant ally for interventional cardiologist. Here we report an intriguing case of spontaneous coronary artery dissection not immediately diagnosed due to the explained parachute effect, managed invasively according to an algorithm previously published, with a good long-term outcome.

摘要

自发性冠状动脉夹层常被漏诊。它占一定比例的急性冠状动脉综合征。血管内成像,无论是血管内超声还是光相干断层扫描,都是介入心脏病学家的重要盟友。在这里,我们报告了一个有趣的病例,由于降落伞效应,该病例未被立即诊断,根据之前发表的算法进行了有创治疗,长期预后良好。

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