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二尖瓣置换术后医源性左旋支冠状动脉闭塞：一例报告。

Iatrogenic left circumflex coronary occlusion following mitral valve replacement surgery: A case report.

作者信息

Yavari Negin, Ghorbanpour Landy Mina, Motevali Yasaman, Tavousi Tabatabaei Elham, Mansourian Soheil, Mohseni Badalabadi Reza, Javad Mehrabanian Mohammad, Hossein Ahmadi Tafti Seyed

机构信息

Research Department Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.

School of Medicine Tehran Medical Sciences Branch Islamic Azad University Tehran Iran.

出版信息

Clin Case Rep. 2021 Jan 22;9(3):1534-1538. doi: 10.1002/ccr3.3824. eCollection 2021 Mar.

DOI:10.1002/ccr3.3824
PMID:33768883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7981731/
Abstract

Injury to epicardial coronary arteries following mitral valve replacement surgery, albeit rare, could have fatal complications. In this case, we suggest conservative medical treatment as a safe approach in patients who are not suitable to undergo revascularization.

摘要

二尖瓣置换术后心外膜冠状动脉损伤虽罕见，但可能引发致命并发症。在此病例中，我们建议对于不适合进行血运重建的患者，保守药物治疗是一种安全的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/7981731/9a38dfcb7f49/CCR3-9-1534-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/7981731/9481d12b757d/CCR3-9-1534-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/7981731/4db854e4ca5c/CCR3-9-1534-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/7981731/9a38dfcb7f49/CCR3-9-1534-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/7981731/9481d12b757d/CCR3-9-1534-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/7981731/4db854e4ca5c/CCR3-9-1534-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/7981731/9a38dfcb7f49/CCR3-9-1534-g003.jpg

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Medicina (Kaunas). 2023 Aug 16;59(8):1470. doi: 10.3390/medicina59081470.

本文引用的文献

1
Left circumflex artery injury postmitral valve surgery, single center experience.二尖瓣手术后左旋支动脉损伤：单中心经验
J Saudi Heart Assoc. 2019 Apr;31(2):94-99. doi: 10.1016/j.jsha.2018.12.003. Epub 2018 Dec 31.
2
Iatrogenic Left Circumflex Coronary Artery Fistula after Mitral Valve Replacement.二尖瓣置换术后医源性左回旋支冠状动脉瘘
CASE (Phila). 2018 Jun 21;2(5):218-221. doi: 10.1016/j.case.2018.04.004. eCollection 2018 Oct.
3
Circumflex artery injury during mitral valve repair: Not well known, perhaps not so infrequent-lessons learned from a 6-case experience.
二尖瓣修复术中回旋支动脉损伤：鲜为人知，或许并不罕见——来自6例病例的经验教训
J Thorac Cardiovasc Surg. 2017 Nov;154(5):1613-1620. doi: 10.1016/j.jtcvs.2017.05.043. Epub 2017 May 24.
4
Coronary Artery Fistula to Left Atrium Uncovered After Mitral Valve Replacement.二尖瓣置换术后发现冠状动脉瘘入左心房
Anesth Analg. 2017 Jan;124(1):30-32. doi: 10.1213/ANE.0000000000001484.
5
Circumflex coronary artery injury after mitral valve surgery: A report of four cases and comprehensive review of the literature.二尖瓣手术后回旋支冠状动脉损伤：4例报告及文献综述
Catheter Cardiovasc Interv. 2017 Jan;89(1):78-92. doi: 10.1002/ccd.26449. Epub 2016 Feb 19.
6
Late Presentation of Recurrent Monomorphic Ventricular Tachycardia following Minimally Invasive Mitral Valve Repair due to Epicardial Injury.微创二尖瓣修复术后因心外膜损伤导致复发性单形性室性心动过速的延迟表现
Case Rep Cardiol. 2014;2014:976494. doi: 10.1155/2014/976494. Epub 2014 Jan 6.
7
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Tex Heart Inst J. 2012;39(1):104-7.
8
Circumflex coronary artery injury following mitral annuloplasty treated by emergency angioplasty.
Eur J Cardiothorac Surg. 2008 Oct;34(4):922-4. doi: 10.1016/j.ejcts.2008.07.016. Epub 2008 Aug 9.
9
Iatrogenic circumflex coronary lesion in mitral valve surgery: case report and review of the literature.二尖瓣手术中发生医源性旋支冠状动脉病变：病例报告及文献复习
Tex Heart Inst J. 2008;35(2):179-83.
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J Invasive Cardiol. 2006 Oct;18(10):505-8.