Burkey D, Love J, Fanning J, Lambrew C
Cardiology Division, Maine Medical Center, Portland.
Cathet Cardiovasc Diagn. 1993 Dec;30(4):303-5. doi: 10.1002/ccd.1810300408.
A 43-year-old female received tissue plasminogen activator for an acute antero-apical myocardial infarction. Cardiac catheterization demonstrated three focal dissections involving the left anterior descending and circumflex arteries. She expired unexpectantly after undergoing emergency coronary artery bypass grafting for therapy of an extension of her infarct. To our knowledge, this is the fourth report of multiple spontaneous coronary artery dissections and the second in which tissue plasminogen activator was administered. The histologic findings and their implications are reviewed.
一名43岁女性因急性前壁心肌梗死接受了组织型纤溶酶原激活剂治疗。心脏导管检查显示左前降支和回旋支动脉有三处局灶性夹层。她在接受紧急冠状动脉搭桥术以治疗梗死扩展后意外死亡。据我们所知，这是关于多发性自发性冠状动脉夹层的第四篇报道，也是第二篇使用组织型纤溶酶原激活剂的报道。本文对组织学发现及其意义进行了综述。
