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一名患有血栓闭塞性脉管炎的年轻男性发生急性心肌梗死及左心室血栓形成:病例报告及文献复习

Acute myocardial infarction and left ventricular thrombus in a young male with thromboangiitis obliterans: a case report and literature review.

作者信息

Zhang Junyan, Li Kai, Rao Li, He Yong, Chen Zhongxiu, Wei Xin

机构信息

Department of Cardiology, West China Hospital of Sichuan University, 37 Guo Xue Xiang, Chengdu, 610041, Sichuan, China.

出版信息

J Cardiothorac Surg. 2025 May 17;20(1):231. doi: 10.1186/s13019-025-03383-0.

Abstract

Thromboangiitis obliterans (TAO) is an inflammatory vascular disease that primarily affects the small- and medium-sized arteries of the extremities. Coronary artery involvement in TAO is rarely reported, and we present the first case of TAO involving the coronary arteries with concomitant left ventricular thrombus. In addition, our case report includes a literature review on coronary artery involvement in TAO and draws comparisons with systemic vasculitis with coronary artery involvement. The case report and literature review aims to offer physicians valuable insights for diagnosis and treatment of TAO with coronary arteries involvement, while also advocating for increased research efforts to explore therapeutic strategies for this rare condition, including both pharmacological treatment and interventional therapy.

摘要

血栓闭塞性脉管炎(TAO)是一种炎症性血管疾病,主要影响四肢的中小动脉。TAO累及冠状动脉的情况鲜有报道,我们报告首例TAO累及冠状动脉并伴有左心室血栓形成的病例。此外,我们的病例报告还包括对TAO累及冠状动脉的文献综述,并与累及冠状动脉的系统性血管炎进行比较。该病例报告和文献综述旨在为医生提供有关TAO累及冠状动脉的诊断和治疗的宝贵见解,同时也倡导加大研究力度,探索针对这种罕见病症的治疗策略,包括药物治疗和介入治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9edd/12085856/803e21e95c7e/13019_2025_3383_Fig1_HTML.jpg

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