经皮线圈栓塞治疗破裂冠状动脉假性动脉瘤致心包积血：一例报告
Coil embolization for ruptured coronary pseudoaneurysm causing haemopericardium: a case report.
作者信息
Nakagawa Takashi, Hara Hisao, Wakiya Momoko, Hiroi Yukio
机构信息
Department of Cardiology, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan.
Division of Cardiovascular Medicine, Ohashi Medical Center, Toho University, Tokyo, Japan.
出版信息
Eur Heart J Case Rep. 2021 May 12;5(5):ytab129. doi: 10.1093/ehjcr/ytab129. eCollection 2021 May.
BACKGROUND
Coronary artery pseudoaneurysm is a rare disease that can rupture and cause haemopericardium. It can occur principally as a complication after coronary artery instrumentation, but it can also result from trauma.
CASE SUMMARY
A 15-year-old male patient with a history of spontaneous pneumothoraces treated twice with video-assisted thoracoscopic thoracic surgery presented with pericarditis and increasing haemopericardium. During the hospitalization, he had developed cardiogenic shock and he underwent emergent pericardiocentesis. Coronary angiography revealed a small right coronary artery pseudoaneurysm. We successfully coil embolized the pseudoaneurysm.
DISCUSSION
This is a rare case of a ruptured coronary artery pseudoaneurysm associated with prior tube thoracostomy. The treatments for a coronary pseudoaneurysm should be tailored based on the pathologic and anatomical characteristics.
背景
冠状动脉假性动脉瘤是一种罕见疾病，可破裂并导致心包积血。它主要作为冠状动脉介入术后的并发症出现，但也可由外伤引起。
病例摘要
一名15岁男性患者，有自发性气胸病史，曾接受两次电视辅助胸腔镜胸外科手术治疗，现出现心包炎和心包积血增多。住院期间，他发生了心源性休克，并接受了紧急心包穿刺术。冠状动脉造影显示右冠状动脉有一个小的假性动脉瘤。我们成功地用弹簧圈栓塞了假性动脉瘤。
讨论
这是一例罕见的与既往胸腔闭式引流术相关的破裂冠状动脉假性动脉瘤病例。冠状动脉假性动脉瘤的治疗应根据病理和解剖特征进行个体化选择。
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