Mao Ruochen, Coe James-Yashu, Minhas Kunal, Florescu Oana, Tymchak Wayne, Schantz Daryl, Buffo Ilan, Soni Reeni, Hyman Jeff, Pepelassis Dionysios
Department of Internal Medicine, University of Manitoba, Winnipeg, Canada.
Department of Pediatrics, University of Alberta, Edmonton, Canada.
JACC Case Rep. 2021 Jun 16;3(6):849-852. doi: 10.1016/j.jaccas.2021.04.027. eCollection 2021 Jun.
We present the case of a 16-year-old patient with anomalous left coronary artery from the left pulmonary artery requiring percutaneous coronary intervention in infancy who presented with ventricular fibrillation arrest. A coronary angiogram revealed 40% narrowing of the stent relative to the remainder of the left main coronary artery. Optical coherence tomography was performed and revealed an area stenosis of 70% relative to the native left main coronary artery. The patient had outgrown the stent. ().
我们报告了一例16岁患者的病例,该患者在婴儿期因左肺动脉异常起源的左冠状动脉而接受了经皮冠状动脉介入治疗,此次出现心室颤动骤停。冠状动脉造影显示,相对于左冠状动脉主干的其余部分,支架处有40%的狭窄。进行了光学相干断层扫描,结果显示相对于天然左冠状动脉主干,该区域狭窄70%。该患者已不再适合使用该支架。 ()