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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.

DOI:10.1155/cric/7144164
PMID:39734800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11671644/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/b1965f91ed91/CRIC2024-7144164.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/5a9098ae7c25/CRIC2024-7144164.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/750895dd7439/CRIC2024-7144164.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/082c96e18a41/CRIC2024-7144164.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/8c70b4521d3b/CRIC2024-7144164.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/de51a238dd60/CRIC2024-7144164.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/d86031d557d2/CRIC2024-7144164.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/b1965f91ed91/CRIC2024-7144164.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/5a9098ae7c25/CRIC2024-7144164.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/750895dd7439/CRIC2024-7144164.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/082c96e18a41/CRIC2024-7144164.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/8c70b4521d3b/CRIC2024-7144164.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/de51a238dd60/CRIC2024-7144164.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/d86031d557d2/CRIC2024-7144164.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc3/11671644/b1965f91ed91/CRIC2024-7144164.007.jpg

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本文引用的文献

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Management and outcomes of spontaneous coronary artery dissection: a systematic review of the literature.自发性冠状动脉夹层的管理与预后：文献系统综述
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Corrigendum to: Antiplatelet therapy in patients with conservatively managed spontaneous coronary artery dissection from the multicentre DISCO registry.
《多中心DISCO注册研究中保守治疗的自发性冠状动脉夹层患者的抗血小板治疗》勘误
Eur Heart J. 2021 Dec 28;43(1):87. doi: 10.1093/eurheartj/ehab720.
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Spontaneous Coronary Artery Dissection: Pitfalls of Angiographic Diagnosis and an Approach to Ambiguous Cases.自发性冠状动脉夹层：血管造影诊断的陷阱和处理模棱两可病例的方法。
JACC Cardiovasc Interv. 2021 Aug 23;14(16):1743-1756. doi: 10.1016/j.jcin.2021.06.027.
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Long-Term Outcomes Comparing Medical Therapy versus Revascularization for Spontaneous Coronary Artery Dissection.自发性冠状动脉夹层的药物治疗与血运重建治疗的长期结果比较。
Am J Med. 2021 Jul;134(7):e403-e408. doi: 10.1016/j.amjmed.2021.02.011. Epub 2021 Mar 25.
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Women With Spontaneous Coronary Artery Dissection Are at Increased Risk of Iatrogenic Coronary Artery Dissection.自发性冠状动脉夹层女性发生医源性冠状动脉夹层的风险增加。
Heart Lung Circ. 2021 Jan;30(1):e23-e28. doi: 10.1016/j.hlc.2020.06.028. Epub 2020 Sep 18.
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Spontaneous Coronary Artery Dissection: JACC State-of-the-Art Review.自发性冠状动脉夹层：JACC 现状综述。
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Revascularization in Patients With Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction.自发性冠状动脉夹层合并 ST 段抬高型心肌梗死患者的血运重建。
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