Frenzel H, Hust M, Ostermeyer J
Z Kardiol. 1982 Jun;71(6):427-31.
Dissection of the three coronary vessels as a rare fatal complication after intraoperative cannulation is described. A 58-year-old man died from progressive cardiac failure 12 days after mitral and aortic valve replacement. The cause of death was a nearly 12-day-old anteroseptal myocardial infarction as a result of a dissection of all three coronary vessels including the septal arteries. Histologic examination revealed a tear of the left and right coronary artery at their ostia. Thrombi of different age in the dissection and satellite-like recent necroses surrounding the 12-day-old myocardial infarction indicate a gradual progression of the dissection.
本文描述了术中插管后罕见的致命并发症——三根冠状动脉血管夹层。一名58岁男性在二尖瓣和主动脉瓣置换术后12天死于进行性心力衰竭。死亡原因是包括间隔动脉在内的所有三根冠状动脉血管夹层导致的近12日龄的前间隔心肌梗死。组织学检查显示左、右冠状动脉开口处撕裂。夹层内不同年龄的血栓以及12日龄心肌梗死周围卫星状近期坏死表明夹层是逐渐发展的。
