厄尔德海姆-切斯特病中的反常冠状动脉栓塞：侵入性评估与多学科管理
Paradoxical coronary embolism in Erdheim-Chester disease: invasive assessment and multidisciplinary management.
作者信息
Lamprou Vasileios, Daniels Matthew J, Read Charles D, Keshavarzi Freidoon
机构信息
Manchester Heart Centre, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, United Kingdom.
Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PL, United Kingdom.
出版信息
Oxf Med Case Reports. 2024 Dec 28;2024(12):omae163. doi: 10.1093/omcr/omae163. eCollection 2024 Dec.
We report a case of non-ST elevation myocardial infarction in a 36-year-old man with Erdheim-Chester disease (ECD). Multimodality assessment revealed acute coronary thrombus with simultaneous recurrent pulmonary embolism in spite of compliance with a direct oral anticoagulant. Prior case reports of acute myocardial infarction in this population have not outlined the role of catheter based intravascular assessment and treatment in this rare clinical entity.
我们报告了一例患有 Erdheim-Chester 病（ECD）的 36 岁男性非 ST 段抬高型心肌梗死病例。多模态评估显示，尽管患者一直服用直接口服抗凝剂，但仍出现急性冠状动脉血栓并同时复发肺栓塞。此前该人群急性心肌梗死的病例报告未阐述基于导管的血管内评估和治疗在这种罕见临床病症中的作用。
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