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异常左前降支动脉中的自发性冠状动脉夹层与ST段抬高型心肌梗死

Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction in an Anomalous LAD Artery.

作者信息

Kang Guson, Sarraju Ashish, Nishi Takeshi, Rogers Ian, Tremmel Jennifer A, Kim Juyong Brian

机构信息

Division of Cardiovascular Medicine, Stanford University Medical Center, Stanford, California.

出版信息

JACC Case Rep. 2020 Jan 15;2(1):45-50. doi: 10.1016/j.jaccas.2019.11.061. eCollection 2020 Jan.

Abstract

Spontaneous coronary artery dissection is an increasingly recognized cause of acute coronary syndrome in younger patients. Management remains challenging and involves weighing the benefits of revascularization with the potential to worsen the dissection. We present a case of spontaneous coronary artery dissection with the superimposed complexity of an anomalous intramural coronary artery. ().

摘要

自发性冠状动脉夹层是年轻患者急性冠状动脉综合征越来越常见的病因。治疗仍然具有挑战性,需要权衡血运重建的益处与夹层可能恶化的风险。我们报告一例自发性冠状动脉夹层病例,该病例合并了壁内冠状动脉异常这一复杂情况。 ()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b11e/8301712/ea9b21a14ed9/fx1.jpg

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