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病例报告:1例室性早搏射频消融术中严重冠状静脉痉挛的罕见病例。

Case Report: A Rare Case of Severe Coronary Venous Spasm During Radiofrequency Ablation of Premature Ventricular Contraction.

作者信息

Sha Rina, Rong Bing, Maduray Kellina, Zhong Jingquan

机构信息

The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.

Department of Cardiology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China.

出版信息

Front Cardiovasc Med. 2022 May 2;9:889761. doi: 10.3389/fcvm.2022.889761. eCollection 2022.

Abstract

Coronary venous spasm has never been reported during premature ventricular extrasystole ablation. We report a 20-year-old female patient who experienced a severe spasm of the great cardiac vein during radiofrequency ablation for premature ventricular contractions, which were relieved eventually by the administration of intracoronary nitroglycerine. The operation was successfully completed, leading to a long-term resolution of her palpitation symptoms.

摘要

室性早搏消融过程中从未有过冠状动脉痉挛的报道。我们报告了一名20岁女性患者,她在进行室性早搏射频消融时发生了心大静脉严重痉挛,最终通过冠状动脉内注射硝酸甘油得以缓解。手术成功完成,她的心悸症状得到了长期缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05d/9108180/d34ec7afb3af/fcvm-09-889761-g0001.jpg

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