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以心肌梗死伴心源性休克为表现的左冠状动脉主干动脉瘤闭塞：通过挽救左前降支而牺牲其他血管挽救了患者。

Left main coronary artery aneurysm occlusion presenting as myocardial infarction with cardiogenic shock: Patient saved by securing left anterior descending artery at cost the of other vessels.

作者信息

Chandra Sharad, Choudhary Rajeev Krishna, Shukla Ayush, Chaudhary Gaurav, Mahalawat Somya, Nagar Saurabh, Sharma Akhil

机构信息

Department of Cardiology King George's Medical University Lucknow Uttar Pradesh India.

Sarojini Naidu Medical College Agra Uttar Pradesh India.

出版信息

Clin Case Rep. 2024 Jul 12;12(7):e9036. doi: 10.1002/ccr3.9036. eCollection 2024 Jul.

DOI:10.1002/ccr3.9036
PMID:39005572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11245403/
Abstract

Coronary artery aneurysms and ST-segment elevation myocardial infarction are rare in clinical practice, presenting a management challenge. To the best of our knowledge, this case appears to be the first successful percutaneous treatment of a completely obstructed aneurysmal left main coronary artery.

摘要

冠状动脉瘤和ST段抬高型心肌梗死在临床实践中较为罕见，带来了治疗挑战。据我们所知，该病例似乎是首例成功经皮治疗完全闭塞的左主干冠状动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/a868bfbef3d9/CCR3-12-e9036-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/efd88a963fea/CCR3-12-e9036-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/1b20e7c5f138/CCR3-12-e9036-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/de5d03aad319/CCR3-12-e9036-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/509731e2fc87/CCR3-12-e9036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/18c0c0b69fd2/CCR3-12-e9036-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/049fb85c4c9a/CCR3-12-e9036-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/438e6bea677b/CCR3-12-e9036-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/2560cbb7ae1e/CCR3-12-e9036-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/7b60456f83a1/CCR3-12-e9036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/354cac37eb07/CCR3-12-e9036-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/35000b98be8b/CCR3-12-e9036-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/a868bfbef3d9/CCR3-12-e9036-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/efd88a963fea/CCR3-12-e9036-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/1b20e7c5f138/CCR3-12-e9036-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/de5d03aad319/CCR3-12-e9036-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/509731e2fc87/CCR3-12-e9036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/18c0c0b69fd2/CCR3-12-e9036-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/049fb85c4c9a/CCR3-12-e9036-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/438e6bea677b/CCR3-12-e9036-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/2560cbb7ae1e/CCR3-12-e9036-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/7b60456f83a1/CCR3-12-e9036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/354cac37eb07/CCR3-12-e9036-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/35000b98be8b/CCR3-12-e9036-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f016/11245403/a868bfbef3d9/CCR3-12-e9036-g009.jpg

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本文引用的文献

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Heart Lung Circ. 2023 Sep;32(9):e63-e65. doi: 10.1016/j.hlc.2023.06.574. Epub 2023 Jul 6.
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Recurrent ST-Elevation Myocardial Infarction (STEMI) in Coronary Artery Aneurysm Secondary to Atherosclerosis.动脉粥样硬化继发冠状动脉瘤中的复发性ST段抬高型心肌梗死（STEMI）
Cureus. 2022 Sep 3;14(9):e28757. doi: 10.7759/cureus.28757. eCollection 2022 Sep.
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Etiology, clinical presentation, and management of left main coronary artery aneurysms.
左冠状动脉主干动脉瘤的病因、临床表现及治疗
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Management of Coronary Artery Aneurysms.冠状动脉瘤的处理。
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Coronary Artery Aneurysms: A Review of the Epidemiology, Pathophysiology, Diagnosis, and Treatment.冠状动脉瘤：流行病学、病理生理学、诊断及治疗综述
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