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冠状动脉穿孔并发冠状动脉和心室假性动脉瘤的病例报告

Communicating Coronary and Ventricular Pseudoaneurysms Complicating Coronary Artery Perforation.

作者信息

Sugitani Miho, Nakatani Shimpei, Kuraoka Ayano, Kawai Kenji, Okamura Atsunori, Kijima Yoshiyuki, Masuyama Tohru

机构信息

Department of Cardiology, JCHO Hoshigaoka Medical Center, Hirakatashi, Osaka, Japan.

Department of Cardiology, Sakurabashi-Watanabe Hospital, Osakashi, Osaka, Japan.

出版信息

JACC Case Rep. 2022 Aug 17;4(16):1020-1025. doi: 10.1016/j.jaccas.2022.07.012.

Abstract

We present the case of a 75-year-old man who experienced rebleeding after surgical treatment of grade III coronary perforation, resulting in intertwined complications including communicating coronary and ventricular pseudoaneurysms. The percutaneous intervention of sealing the rebleeding site with a covered stent implantation managed this rare pseudoaneurysm successfully. ().

摘要

我们报告了一例75岁男性患者,其在III级冠状动脉穿孔手术治疗后发生再出血,导致包括交通性冠状动脉和心室假性动脉瘤在内的复杂并发症。通过植入覆膜支架封堵再出血部位的经皮介入治疗成功处理了这种罕见的假性动脉瘤。 ()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9620/9434650/bb80ccf249f9/fx1.jpg

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