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切割球囊血管成形术成功治疗自发性冠状动脉夹层

Successful Treatment of Spontaneous Coronary Artery Dissection With Cutting Balloon Angioplasty.

作者信息

Zghouzi Mohamed, Moussa Pacha Homam, Sattar Yasar, Alraies M Chadi

机构信息

Internal Medicine, Detroit Medical Center, Detroit, USA.

Cardiovascular Disease, University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.

出版信息

Cureus. 2021 Mar 4;13(3):e13706. doi: 10.7759/cureus.13706.

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare but serious condition that requires immediate attention. It has a similar presentation to acute coronary syndrome in terms of chest pain, electrocardiogram changes, and an increase in troponins, and is considered to be a significant cause of myocardial infarction. Coronary angiography is needed to confirm the diagnosis, and subsequent repair should be pursued when needed. We describe a case of SCAD in a 72-year-old female treated using the cutting balloon angioplasty technique to create communication between the true and false lumens.

摘要

自发性冠状动脉夹层(SCAD)是一种罕见但严重的疾病,需要立即引起关注。在胸痛、心电图改变和肌钙蛋白升高方面,它与急性冠状动脉综合征有相似的表现,被认为是心肌梗死的一个重要原因。需要进行冠状动脉造影以确诊,必要时应进行后续修复。我们描述了一例72岁女性的SCAD病例,采用切割球囊血管成形术在真假腔之间建立通道进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c571/8016528/d790f16a3d36/cureus-0013-00000013706-i01.jpg

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