Shen Linghong, Xu Ke, Zhang Weifeng, Zheng Xiaowen, He Ben
Department of Cardiology, Shanghai Chest Hospital affiliated to Shanghai Jiao Tong University, Shanghai, China.
CJC Open. 2020 Nov 3;3(3):372-375. doi: 10.1016/j.cjco.2020.10.013. eCollection 2021 Mar.
This report describes a case of a 35-year-old man who presented with acute coronary syndrome. An angiogram and intravascular ultrasound revealed atherosclerotic stenosis in the myocardial bridging segment of the mid-left anterior descending artery. The culprit lesion was treated using a drug-coated balloon, and no residual stenosis was observed, which was later confirmed by intravascular ultrasound and optical coherence tomography at a 1-year coronary angiographic follow-up. This case provides evidence that drug-coated balloon could be a potential treatment strategy for atherosclerosis located in the myocardial bridging segment and suggests advantages of the "leave nothing behind" strategy in such clinical scenarios.
本报告描述了一名35岁男性急性冠状动脉综合征的病例。血管造影和血管内超声显示左前降支中段心肌桥节段存在动脉粥样硬化狭窄。使用药物涂层球囊治疗罪犯病变，未观察到残余狭窄，1年冠状动脉造影随访时血管内超声和光学相干断层扫描后来证实了这一点。该病例提供了证据，表明药物涂层球囊可能是治疗位于心肌桥节段动脉粥样硬化的潜在策略，并提示了在这种临床情况下“不留任何东西”策略的优势。
