O'Sullivan Katie E, Tong Michael Z, Weiss Aaron J, Bakaeen Faisal G
Department of Thoracic and Cardiovascular Surgery, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
JACC Case Rep. 2023 Mar 15;10:101752. doi: 10.1016/j.jaccas.2023.101752.
Spontaneous coronary artery dissection is an uncommon cause of myocardial ischemia. Conservative management is the mainstay, although a few patients will require revascularization. We present a case of a 31-year-old woman whose extensive dissection necessitated coronary artery bypass grafting requiring an extended arteriotomy for excision of the thrombus and dissection flap. ().
自发性冠状动脉夹层是心肌缺血的一种罕见病因。尽管少数患者需要血运重建,但保守治疗仍是主要方法。我们报告一例31岁女性病例,其广泛的夹层需要冠状动脉旁路移植术,该手术需要延长动脉切开术以切除血栓和夹层瓣。()