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冠状动脉支架断裂后巨大右冠状动脉瘤的外科治疗。

Surgical treatment of a giant right coronary aneurysm following coronary stent fracture.

机构信息

Bristol Heart Institute, University of Bristol, Bristol, UK.

出版信息

J Card Surg. 2022 Apr;37(4):1033-1035. doi: 10.1111/jocs.16216. Epub 2022 Jan 7.

DOI:10.1111/jocs.16216
PMID:34994491
Abstract

BACKGROUND

Coronary artery aneurysm represents a challenging and potentially fatal disease.

AIM AND MATERIAL METHODS

We present the case of a giant right coronary artery aneurysm treated surgically after percutaneous intervention and fracture of the stent.

RESULTS AND DISCUSSION

The aneurism was opened and the coronary ligated proximally and distally. It was not possible to re-established continuity of the coronary artery or perform a bypass graft. An early surgical strategy would have re-established blood flow in the involved coronary artery and avoided chronic ischemia of the supplied myocardial territory.

摘要

背景

冠状动脉瘤是一种具有挑战性且可能致命的疾病。

目的和材料方法

我们报告了一例经皮介入治疗和支架断裂后手术治疗的巨大右冠状动脉瘤。

结果和讨论

动脉瘤被切开，冠状动脉近端和远端被结扎。无法重建冠状动脉的连续性或进行旁路移植。早期的手术策略可以恢复受累冠状动脉的血流，避免供应心肌区域的慢性缺血。

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