定向冠状动脉旋切术相关冠状动脉穿孔的成功外科治疗——病例报告

A successful surgical treatment of coronary perforation associated with directional coronary atherectomy--a case report.

作者信息

Nonoyama M, Tsuchida K, Kijima M, Matsumoto S, Kurosawa K

机构信息

Department of Cardiovascular Surgery, Hoshi General Hospital, Fukushima, Japan.

出版信息

Jpn Circ J. 1995 Mar;59(3):180-3. doi: 10.1253/jcj.59.180.

DOI:10.1253/jcj.59.180

PMID:7602755

Abstract

We encountered a patient with coronary perforation showing cardiac tamponade and shock that occurred during debulking by directional coronary atherectomy. We successfully performed emergent pericardial drainage and aorto-coronary bypass procedures. Bypass surgery is recommended to avoid perioperative myocardial infarction in cases such as ours since the native coronary artery may be at risk of being occluded or narrowed due to oppression by the hematoma and destroyed intima.

摘要

我们遇到了一名冠状动脉穿孔患者，该患者在进行定向冠状动脉斑块旋切术减容时出现了心脏压塞和休克。我们成功地实施了紧急心包引流和主动脉-冠状动脉旁路移植手术。对于我们这种情况，建议进行旁路手术以避免围手术期心肌梗死，因为由于血肿压迫和内膜破坏，原生冠状动脉可能有被阻塞或狭窄的风险。