Sarwar Maruf, Adedokun Stephen D, Hwang Keonmin, Anantha Narayanan Mahesh
Section of Internal Medicine, White River Health, Batesville, Arkansas, USA.
Section of Cardiovascular Disease, University of Tennessee Health and Science, Memphis, Tennessee, USA.
JACC Case Rep. 2025 Jan 15;30(2):102798. doi: 10.1016/j.jaccas.2024.102798.
Patients presenting with acute coronary syndrome with ST-segment elevation myocardial infarction require rapid and decisive interventions to restore blood flow to the affected myocardium, minimizing ischemic damage. This case report is particularly unique because it involves a patient presenting with ST-segment elevation myocardial infarction, where the culprit lesion was an occluded coronary artery graft with an extensive thrombus burden. The complexity of this case necessitated a strategic shift to revascularize the chronically occluded native vessel instead of the graft. This highlights the intricate decision-making and advanced interventional techniques required in managing such complex clinical scenarios.
表现为ST段抬高型心肌梗死的急性冠状动脉综合征患者需要迅速而果断的干预措施，以恢复受影响心肌的血流，将缺血损伤降至最低。本病例报告尤为独特，因为它涉及一名表现为ST段抬高型心肌梗死的患者，其罪犯病变是一支闭塞的冠状动脉移植血管，伴有大量血栓负荷。该病例的复杂性使得有必要进行策略性转变，即对慢性闭塞的自身血管而非移植血管进行血运重建。这凸显了在处理此类复杂临床情况时所需的复杂决策和先进介入技术。
