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通过慢性完全冠状动脉闭塞经皮冠状动脉介入技术揭示巨大冠状动脉瘤

Unmasking of a Giant Coronary Aneurysm by Chronic Total Coronary Occlusion Percutaneous Coronary Intervention Techniques.

作者信息

Somsen Yvemarie B O, Porouchani Sina, de Winter Ruben W, Zandbergen Harmen R, Jansen Evert K, Nap Alexander, Niessen Hans W M, Knaapen Paul

机构信息

Department of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.

Department of Cardiology, Lille University Hospital, Lille, France.

出版信息

JACC Case Rep. 2024 May 3;29(11):102359. doi: 10.1016/j.jaccas.2024.102359. eCollection 2024 Jun 5.

Abstract

A young female patient presenting with a non-ST-segment elevation myocardial infarction underwent invasive coronary angiography, revealing a total occlusion of the right coronary artery. During percutaneous coronary intervention with dual catheter access, a retrograde tip injection and peculiar retrograde wiring unmasked a giant coronary aneurysm, which noninvasive imaging confirmed.

摘要

一名表现为非ST段抬高型心肌梗死的年轻女性患者接受了有创冠状动脉造影,结果显示右冠状动脉完全闭塞。在采用双导管入路进行经皮冠状动脉介入治疗期间,一次逆行尖端注射和特殊的逆行导丝操作发现了一个巨大冠状动脉瘤,无创成像证实了这一情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/049e/11079459/c149c4323643/ga1.jpg

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