Chaix A F, Barragan P, Silvestri M, Comet B, Bouvier J L, Chaix L, Latour F, Camilleri J F, Garcia P
Centre d'urgences et d'explorations cardiovasculaires, clinique les Alpilles, Marseille.
Arch Mal Coeur Vaiss. 1995 Jan;88(1):95-7.
A 78 year old woman with unstable angina due to significant stenosis of the left main coronary artery and occlusion of the right coronary artery was treated medically for 29 months because of a surgical contraindication. Resistance to drug therapy led to referral for complex angioplasty of the left main, left anterior descending and left circumflex arteries, successively by rotablator and balloon angioplasty. An immediate elastic recoil on the left main coronary artery led to implantation of a Palma-Schatz stent. There were no complications and the patient is asymptomatic twenty months later.
一名78岁女性，因左主干冠状动脉严重狭窄和右冠状动脉闭塞导致不稳定型心绞痛，因手术禁忌接受了29个月的药物治疗。药物治疗效果不佳，遂转诊接受左主干、左前降支和左旋支动脉的复杂血管成形术，先后采用旋磨术和球囊血管成形术。左主干冠状动脉立即出现弹性回缩，导致植入帕尔马-沙茨支架。术后无并发症，20个月后患者无症状。
