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1型神经纤维瘤病青少年患者冠状动脉瘤血栓形成致急性心肌梗死

Coronary Artery Aneurysm Thrombosis Causing Acute Myocardial Infarction in an Adolescent With Neurofibromatosis Type 1.

作者信息

Russo Filippo, Beneduce Alessandro, Parma Barbara, Selicorni Angelo, Campana Carlo, Marcolin Cecilia, Picchi Raffaella, Chieffo Alaide, Montorfano Matteo

机构信息

Interventional Cardiology Unit, Cardio-Thoracic-Vascular Department, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Pediatric Department, ASST Lariana, Sant'Anna Hospital, Como, Italy.

出版信息

JACC Case Rep. 2024 Sep 4;29(17):102488. doi: 10.1016/j.jaccas.2024.102488.

Abstract

Acute myocardial infarction is a rare though possible occurrence in young patients, especially with predisposing conditions, and the treatment is still debated. We present the case of a teenager known to have neurofibromatosis type 1 with acute coronary syndrome caused by coronary aneurysms and thrombotic occlusion of the left circumflex artery treated with a stent-sparing strategy.

摘要

急性心肌梗死在年轻患者中虽属罕见但仍有可能发生,尤其是在有易感因素的情况下,其治疗方法仍存在争议。我们报告一例患有1型神经纤维瘤病的青少年病例,该患者因冠状动脉瘤和左旋支动脉血栓性闭塞导致急性冠状动脉综合征,采用了保留支架的策略进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/a3ff73865644/ga1.jpg

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