Kobayashi Masakazu, Morita Yasuhiro, Tanaka Keizo, Hirai Taishi, Takayama Yohei, Muto Masahiro, Ishii Hideki, Murohara Toyoaki, Izawa Hideo
Department of Cardiology, Hamamatsu Medical Center, Hamamatsu, Japan.
Department of Medicine, Division of Cardiology, Fujita Health University Okazaki Medical Center, Okazaki, Japan.
CJC Open. 2021 May 13;3(9):1192-1194. doi: 10.1016/j.cjco.2021.05.002. eCollection 2021 Sep.
This is the first report of a resuscitated adult with left main coronary artery ostial atresia (LMCAOA), with long-term follow-up for 10 years. A 57-year-old woman with untreated Graves' disease presented with resuscitated cardiac arrest, and her computed tomography coronary angiography showed a string-like left main without significant atherosclerosis, which led to the diagnosis of LMCAOA. Noninvasive and invasive testing revealed extensive myocardial ischemia because of LMCAOA with concomitant coronary spasm. After successful revascularization with coronary artery bypass grafting, the patient has remained stable for 10 years, which highlights this treatment as being highly effective and durable in patients with LMCAOA and cardiac arrest.
这是关于一名左主干冠状动脉开口处闭锁（LMCAOA）的成年复苏患者的首份报告，并进行了为期10年的长期随访。一名患有未治疗的格雷夫斯病的57岁女性出现复苏后心脏骤停，其计算机断层扫描冠状动脉造影显示左主干呈条索状，无明显动脉粥样硬化，从而诊断为LMCAOA。无创和有创检查显示，由于LMCAOA伴发冠状动脉痉挛，存在广泛的心肌缺血。在冠状动脉旁路移植术成功实现血运重建后，该患者已保持稳定状态达10年，这突出表明这种治疗方法对患有LMCAOA和心脏骤停的患者具有高效性和持久性。
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