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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.

DOI:10.1016/j.jaccas.2024.102488
PMID:39359518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11442190/
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/80c0/11442190/9859d533ca2e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/a3ff73865644/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/cee1e7c05445/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/c5a246810c12/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/9859d533ca2e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/a3ff73865644/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/cee1e7c05445/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/c5a246810c12/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c0/11442190/9859d533ca2e/gr3.jpg

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1
Coronary Artery Aneurysm Thrombosis Causing Acute Myocardial Infarction in an Adolescent With Neurofibromatosis Type 1.1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
JACC Case Rep. 2024 Sep 4;29(17):102488. doi: 10.1016/j.jaccas.2024.102488.
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本文引用的文献

1
Usefulness of oral anticoagulation in patients with coronary aneurysms: Insights from the CAAR registry.口服抗凝剂在冠状动脉瘤患者中的应用价值：来自CAAR注册研究的见解
Catheter Cardiovasc Interv. 2021 Nov 1;98(5):864-871. doi: 10.1002/ccd.29243. Epub 2020 Sep 9.
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Ticagrelor or Prasugrel in Patients with Acute Coronary Syndromes.替格瑞洛或普拉格雷在急性冠状动脉综合征患者中的应用。
N Engl J Med. 2019 Oct 17;381(16):1524-1534. doi: 10.1056/NEJMoa1908973. Epub 2019 Sep 1.
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Management of Coronary Artery Aneurysms.冠状动脉瘤的处理。
JACC Cardiovasc Interv. 2018 Jul 9;11(13):1211-1223. doi: 10.1016/j.jcin.2018.02.041.
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Recurrent Myocardial Infarctions Due to Thrombosis of a Coronary Aneurysm in Neurofibromatosis Type 1: Is Antiplatelet Treatment Enough?
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