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非动脉粥样硬化性冠状动脉扭结导致血管造影梗阻：一种罕见的结构异常。

Nonatheromatous Coronary Kink Causing Angiographic Obstruction: A Rare Structural Anomaly.

作者信息

Jhawar Nikita, Prasad Abhiram, Gharacholou S Michael

机构信息

Department of Internal Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.

Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.

出版信息

Case Rep Cardiol. 2023 Aug 21;2023:6626263. doi: 10.1155/2023/6626263. eCollection 2023.

DOI:10.1155/2023/6626263
PMID:37645685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10462445/
Abstract

Ischemic symptoms may be explained by a multitude of coronary pathologies, including coronary artery tortuosity, atherosclerosis, fibromuscular dysplasia, vasculitis, coronary vasospasm, or microvascular disease. We present an unusual case of coronary kinking in a patient presenting with exertional jaw pain in the absence of atherosclerotic risk factors. Multimodality imaging, coronary imaging, and coronary physiology helped establish the diagnosis and guide management.

摘要

缺血症状可能由多种冠状动脉病变引起，包括冠状动脉迂曲、动脉粥样硬化、纤维肌发育不良、血管炎、冠状动脉痉挛或微血管疾病。我们报告一例罕见的冠状动脉扭结病例，患者在无动脉粥样硬化危险因素的情况下出现劳力性颌部疼痛。多模态成像、冠状动脉成像和冠状动脉生理学检查有助于明确诊断并指导治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2603/10462445/4f7745565d24/CRIC2023-6626263.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2603/10462445/ec24d7ef7205/CRIC2023-6626263.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2603/10462445/4f7745565d24/CRIC2023-6626263.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2603/10462445/ec24d7ef7205/CRIC2023-6626263.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2603/10462445/4f7745565d24/CRIC2023-6626263.002.jpg

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J Am Heart Assoc. 2022 May 3;11(9):e021490. doi: 10.1161/JAHA.121.021490.
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Physiological Pattern of Disease Assessed by Pressure-Wire Pullback Has an Influence on Fractional Flow Reserve/Instantaneous Wave-Free Ratio Discordance.
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Circ Cardiovasc Interv. 2019 May;12(5):e007494. doi: 10.1161/CIRCINTERVENTIONS.118.007494.
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Coronary Artery Kinking as a Rare Cause of Ischemia in a Young Woman: Harmonious Approach Using Intracoronary Imaging and Physiology.
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