Rodríguez Díez S, Lázaro R, Ruiz Nodar J M, Enero J, Romero C, Gómez Recio M, Martínez Elbal L
Servicio de Cardiología, Hospital Universitario de La Princesa, Madrid.
Rev Esp Cardiol. 1997 Nov;50(11):808-11. doi: 10.1016/s0300-8932(97)74685-2.
A 46-year-old male with a fixed stenosis in the mid-segment of the left anterior descending artery underwent balloon angioplasty. The procedure included the placement of two Wiktor stents because of severe dissection. Five months later he complained of Prinzmetal angina with ST elevation in the anterior wall. A metilergobasine test during the coronary arteriogram showed a discrete, severe spasm on the proximal segment of the left anterior descending artery. Because of a lack of symptomatic improvement with high-dose nitrates and calcium blockers, a Wiktor coronary stent was successfully implanted in the proximal left anterior descending artery, resulting in complete relief of the angina.
一名46岁男性,左前降支中段存在固定狭窄,接受了球囊血管成形术。由于严重夹层形成,手术过程中置入了两枚维克托支架。五个月后,他出现变异型心绞痛,前壁ST段抬高。冠状动脉造影期间的麦角乙胺试验显示左前降支近端节段有一处离散性严重痉挛。由于高剂量硝酸盐和钙阻滞剂未能使症状改善,一枚维克托冠状动脉支架成功植入左前降支近端,心绞痛完全缓解。