一个自发性冠状动脉假性动脉瘤破裂。
A leaking spontaneous coronary artery pseudoaneurysm.
作者信息
Cai Qiangjun, Gilani Syed
机构信息
Division of Cardiology, University of Texas Medical BranchGalvestonTexas.
出版信息
Proc (Bayl Univ Med Cent). 2020 May 14;33(3):453-454. doi: 10.1080/08998280.2020.1759337. eCollection 2020 Jul.
Abstract
A 78-year-old man presented with chest pain and ST segment elevation. Coronary angiography showed no significant coronary artery disease. A saccular pocket of contrast material was found outside of the distal right posterior descending coronary artery consistent with a pseudoaneurysm. Echocardiography showed a pocket of pericardial fluid behind the left atrium concerning for a hemopericardium. The pseudoaneurysm was treated urgently with two coils successfully deployed to obtain complete exclusion of the pseudoaneurysm sac and occlusion of the distal portion of the posterior descending coronary artery.
摘要
一名78岁男性因胸痛和ST段抬高就诊。冠状动脉造影显示无明显冠状动脉疾病。在右冠状动脉后降支远端外侧发现一个造影剂囊袋，符合假性动脉瘤表现。超声心动图显示左心房后方有心包积液，考虑为心包积血。该假性动脉瘤紧急接受了两枚弹簧圈治疗，成功置入后实现了假性动脉瘤囊的完全封堵以及后降支远端的闭塞。
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