Sarkar Souvik, Agrawal Gajendra, Khadse Satish, Chaturvedi Anuj
Respiratory Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cardiology, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 May 17;15(5):e39167. doi: 10.7759/cureus.39167. eCollection 2023 May.
A winking coronary sign refers to the partial collapse of an artery situated over the ventricular septal rupture during systole and refilling of the same during diastole, which is seen as phasic filling and disappearance of the arterial segment during coronary angiography. In this article, we discuss the case of a patient who reported to the emergency department of a tertiary care hospital in central India with myocardial infarction of the anterior wall. Two-dimensional echocardiography and coronary angiography revealed ventricular septal rupture. The patient was promptly managed by a percutaneous coronary angiography and interventricular septal device closure. Even after the defect closure, the winking coronary sign persisted on coronary angiography, and the patient was then discharged in stable condition.
“眨眼征”指的是在收缩期位于室间隔破裂处上方的动脉出现部分塌陷，而在舒张期该动脉重新充盈，在冠状动脉造影时表现为动脉节段的阶段性充盈和消失。在本文中，我们讨论了一名患者的病例，该患者前往印度中部一家三级护理医院的急诊科就诊，诊断为前壁心肌梗死。二维超声心动图和冠状动脉造影显示存在室间隔破裂。该患者立即接受了经皮冠状动脉造影和室间隔缺损封堵器封堵治疗。即使在缺损封堵后，冠状动脉造影上的“眨眼征”仍然存在，随后患者病情稳定出院。
