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一名患有坏疽性脓皮病的青少年运动员冠状动脉高安动脉炎支架内再狭窄后发生ST段抬高型心肌梗死

STEMI Following In-Stent Restenosis in Coronary Takayasu Arteritis With Pyoderma Gangrenosum in a Teenaged Athlete.

作者信息

Desai Rohan, Barr Brian, Vesely Mark, Aktay Recai, Forbess Lisa

机构信息

Department of Internal Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.

Division of Cardiology, University of Maryland School of Medicine, Baltimore, Maryland, USA.

出版信息

JACC Case Rep. 2024 Sep 4;29(17):102487. doi: 10.1016/j.jaccas.2024.102487.

DOI:10.1016/j.jaccas.2024.102487
PMID:39359496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11442194/
Abstract

Takayasu arteritis is a rare vasculitis of the aorta and its branches. Here, we present a teenaged athlete with coronary arteritis and pyoderma gangrenosum, the youngest person whose case is described in the literature. She received immune modulation and percutaneous coronary intervention, with subsequent in-stent restenosis and cardiac arrest requiring coronary artery bypass grafting.

摘要

高安动脉炎是一种累及主动脉及其分支的罕见血管炎。在此，我们报告一名患有冠状动脉炎和坏疽性脓皮病的青少年运动员，这是文献中描述的最年轻病例。她接受了免疫调节和经皮冠状动脉介入治疗，随后出现支架内再狭窄和心脏骤停，需要进行冠状动脉搭桥手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/feee528b0f57/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/9623192acd8e/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/33ce74cc0203/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/9e65fe2f0a5e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/d1e453a35c32/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/43dce9e92fb4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/feee528b0f57/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/9623192acd8e/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/33ce74cc0203/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/9e65fe2f0a5e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/d1e453a35c32/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/43dce9e92fb4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c8/11442194/feee528b0f57/gr5.jpg

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STEMI Following In-Stent Restenosis in Coronary Takayasu Arteritis With Pyoderma Gangrenosum in a Teenaged Athlete.一名患有坏疽性脓皮病的青少年运动员冠状动脉高安动脉炎支架内再狭窄后发生ST段抬高型心肌梗死
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本文引用的文献

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Refractory Takayasu's Arteritis with Severe Coronary Involvement-Case Report and Literature Review.难治性高安动脉炎伴严重冠状动脉受累——病例报告及文献综述
J Clin Med. 2023 Jun 29;12(13):4394. doi: 10.3390/jcm12134394.
2
Refractory Takayasu arteritis with recurrent pyoderma gangrenosum: a therapeutic challenge with case-based review.难治性高安动脉炎合并复发性坏疽性脓皮病：基于病例回顾的治疗挑战
Clin Rheumatol. 2023 May;42(5):1469-1477. doi: 10.1007/s10067-023-06506-x. Epub 2023 Jan 13.
3
Comparing the effects of different management strategies on long-term outcomes for significant coronary stenosis in patients with Takayasu arteritis.
比较不同管理策略对 Takayasu 动脉炎伴显著冠状动脉狭窄患者长期结局的影响。
Int J Cardiol. 2020 May 1;306:1-7. doi: 10.1016/j.ijcard.2020.02.051. Epub 2020 Feb 20.
4
Long-term outcomes of coronary artery bypass grafting versus percutaneous coronary intervention for Takayasu arteritis patients with coronary artery involvement.冠状动脉旁路移植术与经皮冠状动脉介入治疗在伴有冠状动脉受累的 Takayasu 动脉炎患者中的长期结局比较。
Semin Arthritis Rheum. 2017 Oct;47(2):247-252. doi: 10.1016/j.semarthrit.2017.03.009. Epub 2017 Mar 24.
5
Outcomes of percutaneous coronary intervention and coronary artery bypass grafting in patients with Takayasu arteritis.高安动脉炎患者经皮冠状动脉介入治疗和冠状动脉旁路移植术的结果。
Int J Cardiol. 2017 Aug 15;241:64-69. doi: 10.1016/j.ijcard.2017.02.041. Epub 2017 Feb 13.
6
Coronary artery involvement in takayasu arteritis in 45 Chinese patients.45 例中国 Takayasu 动脉炎患者的冠状动脉受累情况。
J Rheumatol. 2013 Apr;40(4):493-7. doi: 10.3899/jrheum.120813. Epub 2013 Feb 15.
7
Stenting of the Left Main Coronary Artery in a Patient With Takayasu's Arteritis.Takayasu 动脉炎患者的左主干冠状动脉支架置入术。
Korean Circ J. 2011 Jan;41(1):34-7. doi: 10.4070/kcj.2011.41.1.34. Epub 2011 Jan 31.
8
Takayasu arteritis: a review.高安动脉炎：综述
J Clin Pathol. 2002 Jul;55(7):481-6. doi: 10.1136/jcp.55.7.481.
9
The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis.美国风湿病学会1990年大动脉炎分类标准。
Arthritis Rheum. 1990 Aug;33(8):1129-34. doi: 10.1002/art.1780330811.