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创伤性冠状动脉夹层导致的急性心肌梗死：与血栓形成和出血性病变的冲突。

Acute myocardial infarction due to traumatic coronary artery dissection: conflicts with thrombotic and bleeding pathologies.

作者信息

Yoshida Chiaki, Yamamoto Hiroyuki, Kato Chiharu, Takaya Tomofumi

机构信息

Division of Cardiovascular Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-cho, Himeji 6708560, Japan.

Acute Care Division, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-chou, Himeji 6708560, Japan.

出版信息

Eur Heart J Case Rep. 2023 Mar 9;7(3):ytad119. doi: 10.1093/ehjcr/ytad119. eCollection 2023 Mar.

DOI:10.1093/ehjcr/ytad119
PMID:36969512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10035635/
Abstract

Traumatic coronary artery dissection is a rare and challenging condition, requiring treatments for both thrombus and haemorrhage. We present a unique case of traumatic coronary artery dissection in which intra-aortic balloon pumping without heparin usage was useful in the acute traumatic phase of haemorrhagic shock with a contraindication to anti-thrombotic therapy.

摘要

创伤性冠状动脉夹层是一种罕见且具有挑战性的病症，需要同时针对血栓和出血进行治疗。我们报告了一例独特的创伤性冠状动脉夹层病例，在该病例中，对于有抗血栓治疗禁忌证的出血性休克急性创伤期，未使用肝素的主动脉内球囊反搏是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3060/10035635/5aa57ba35d11/ytad119f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3060/10035635/5aa57ba35d11/ytad119f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3060/10035635/5aa57ba35d11/ytad119f1.jpg

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本文引用的文献

1
Conservative treatment with an intra-aortic balloon pump to treat acute myocardial infarction due to spontaneous coronary artery dissection.采用主动脉内球囊反搏进行保守治疗以治疗自发性冠状动脉夹层所致急性心肌梗死。
J Cardiol Cases. 2021 Jan 30;23(6):274-280. doi: 10.1016/j.jccase.2021.01.004. eCollection 2021 Jun.
2
Increase in coronary blood flow by intra-aortic balloon counterpulsation in a porcine model of myocardial reperfusion.主动脉内球囊反搏增加心肌再灌注猪模型的冠状动脉血流。
Int J Cardiol. 2010 Feb 4;138(3):253-60. doi: 10.1016/j.ijcard.2008.08.015. Epub 2008 Sep 20.
3
Effects of intra-aortic balloon counterpulsation on coronary pressure in patients with stenotic coronary arteries.主动脉内球囊反搏对冠状动脉狭窄患者冠状动脉压力的影响。
Am Heart J. 2007 Oct;154(4):725-31. doi: 10.1016/j.ahj.2007.05.019.