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慢性冠状动脉综合征合并骨髓增殖性肿瘤患者蜂窝状结构的特征性表现

Characteristic Findings of Honeycomb-Like Structures in Patients With Chronic Coronary Syndrome Complicated With Myeloproliferative Neoplasms.

作者信息

Shimosato Hikaru, Usui Eisuke, Sayama Kodai, Kanaji Yoshihisa, Hada Masahiro, Nagamine Tatsuhiro, Ueno Hiroki, Setoguchi Mirei, Watanabe Takahiro, Kakuta Tsunekazu

机构信息

Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tokyo, Japan.

Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tokyo, Japan.

出版信息

JACC Case Rep. 2025 Apr 2;30(7):103680. doi: 10.1016/j.jaccas.2025.103680.

DOI:10.1016/j.jaccas.2025.103680
PMID:40185592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12046759/
Abstract

A 76-year-old woman with a history of essential thrombocythemia and a 64-year-old man with a history of polycythemia vera were both found to have coronary artery stenosis on coronary computed tomographic angiography. Intravascular imaging revealed a honeycomb-like structure with no lipid component, suggesting an organizing thrombus associated with myeloproliferative neoplasms.

摘要

一名有原发性血小板增多症病史的76岁女性和一名有真性红细胞增多症病史的64岁男性在冠状动脉计算机断层血管造影检查中均被发现有冠状动脉狭窄。血管内成像显示为无脂质成分的蜂窝状结构,提示与骨髓增殖性肿瘤相关的机化血栓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/12cf8e4a4167/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/13ba24697da6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/623a37a00ac9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/352e84c14fff/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/12cf8e4a4167/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/13ba24697da6/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/623a37a00ac9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/352e84c14fff/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8845/12046759/12cf8e4a4167/gr3.jpg

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本文引用的文献

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Diagnosis and treatment of angiographically unclear coronary lesions.冠状动脉造影不明确病变的诊断与治疗。
J Int Med Res. 2024 Jan;52(1):3000605231213753. doi: 10.1177/03000605231213753.
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Cardiovascular Disease in Myeloproliferative Neoplasms: State-of-the-Art Review.骨髓增殖性肿瘤中的心血管疾病:最新综述
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Optical coherence tomographic findings of myeloproliferative disorder presenting as acute myocardial infarction.
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JACC Cardiovasc Interv. 2014 May;7(5):e39-40. doi: 10.1016/j.jcin.2013.07.023. Epub 2014 Apr 16.
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OCT findings in patients with recanalization of organized thrombi in coronary arteries.OCT 观察冠状动脉再通的机化血栓患者的结果。
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A honeycomb-like structure in the left anterior descending coronary artery: demonstration of recanalized thrombus by optical coherence tomography.左前降支冠状动脉内的蜂窝状结构:光学相干断层扫描显示再通血栓
JACC Cardiovasc Interv. 2012 Jun;5(6):688-9. doi: 10.1016/j.jcin.2012.01.024.
8
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Can J Cardiol. 2011 Nov-Dec;27(6):871.e1-2. doi: 10.1016/j.cjca.2011.08.125. Epub 2011 Oct 20.
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Spontaneous recanalization of a coronary artery after thrombotic occlusion: in vivo demonstration with optical coherence tomography.冠状动脉血栓闭塞后自发再通:光学相干断层扫描的体内演示
J Am Coll Cardiol. 2010 Mar 23;55(12):1274. doi: 10.1016/j.jacc.2008.11.071.
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