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经皮冠状动脉介入治疗作为主动脉夹层相关双侧冠状动脉灌注不良的桥接治疗:病例报告。

Percutaneous Coronary Intervention as a Bridge Therapy for Aortic Dissection Related Bilateral Coronary Malperfusion: A Case Report.

机构信息

Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Liouying Tainan, Taiwan.

Division of Cardiovascular Surgery, Department of Internal Medicine, Chi-Mei Medical Center, Liouying Tainan, Taiwan.

出版信息

Heart Surg Forum. 2023 Jan 31;26(1):E040-E042. doi: 10.1532/hsf.5091.

Abstract

Dealing with coronary arteries caused by aortic dissection remains a great challenge in the treatment of aortic dissection. Here, we present the case of a 57-year-old woman, who initially detected chest pain, and electrocardiography showed ST-elevation myocardial infarction. After the primary percutaneous coronary intervention, aortic dissection was accidentally detected. She then received central repair and had a satisfactory outcome. We proved that percutaneous coronary intervention as a bridge therapy for aortic dissection-related coronary malperfusion might be efficient.

摘要

处理由主动脉夹层引起的冠状动脉病变仍然是主动脉夹层治疗中的一大挑战。在这里,我们报告了一位 57 岁女性的病例,她最初出现胸痛,心电图显示 ST 段抬高型心肌梗死。在初次经皮冠状动脉介入治疗后,意外发现主动脉夹层。随后,她接受了中心修复,结果令人满意。我们证明,经皮冠状动脉介入治疗作为主动脉夹层相关冠状动脉灌注不良的桥接治疗可能是有效的。

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