Desmet W J, Dens J, Piessens J
Department of Cardiology, University Hospital Gasthuisberg, Leuven, Belgium.
Cathet Cardiovasc Diagn. 1997 Sep;42(1):64-7. doi: 10.1002/(sici)1097-0304(199709)42:1<64::aid-ccd19>3.0.co;2-m.
Distal coronary embolism of thrombotic material is quite common in the setting of primary coronary angioplasty for evolving acute myocardial infarction. Embolization to another coronary artery is, however, much more uncommon. We report on a case in which a large thrombus migrated from the proximal left anterior descending artery (LAD) to the proximal left circumflex artery (CX) during inflation of the dilatation balloon. The putative mechanism was retrograde expulsion of the thrombus by the deploying balloon.
在对进展期急性心肌梗死进行原发性冠状动脉血管成形术时，血栓物质的远端冠状动脉栓塞相当常见。然而，栓塞至另一冠状动脉则更为罕见。我们报告一例，在扩张球囊充盈过程中，一个大的血栓从左前降支近端（LAD）迁移至左旋支近端（CX）。推测机制是展开的球囊将血栓逆行排出。
