三联血管自发性冠状动脉夹层的保守治疗
Triple-Vessel Spontaneous Coronary Artery Dissection Managed Conservatively.
作者信息
Kroshian Garen S, Cozzolino Matthew J, Flores Edeliz, Bernard Sheilah A
机构信息
Department of Internal Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Department of Cardiovascular Medicine, Boston Medical Center, Boston, Massachusetts, USA.
出版信息
Case Rep Cardiol. 2024 Dec 19;2024:7144164. doi: 10.1155/cric/7144164. eCollection 2024.
The management of spontaneous coronary artery dissection (SCAD) presents challenges and uncertainties. We present a case of a 54-year-old woman who developed SCAD in the three primary coronary artery territories including the distal left anterior descending artery (LAD), a diagonal branch, the first and second obtuse marginals (OMs), and the midright coronary artery (RCA). She was managed conservatively without procedural intervention, and follow-up coronary angiography demonstrated complete recovery.
自发性冠状动脉夹层（SCAD）的管理存在挑战和不确定性。我们报告一例54岁女性病例，其在三个主要冠状动脉区域发生了SCAD，包括左前降支（LAD）远端、一支对角支、第一和第二钝缘支（OM）以及右冠状动脉（RCA）中段。她接受了保守治疗，未进行手术干预，随访冠状动脉造影显示完全恢复。
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