Christiaens L, Coisne D, Allal J, Bacque G, Barraine R
Service de cardiologie A, centre hospitalo-universitaire de Poitiers.
Arch Mal Coeur Vaiss. 1998 Mar;91(3):361-4.
Acute occlusion of the left main coronary artery is usually responsible for cardiogenic shock, severe arrhythmias or sudden death. Despite the widespread use of emergency coronary angiography in acute myocardial infarction, occlusion of the left main coronary artery is rarely observed and its treatment remains controversial. The authors report the case of a young man with a previous history of radiotherapy for Hodgkin's disease, admitted for acute myocardial infarction due to complete thrombosis of the left main coronary artery treated as an emergency by percutaneous transluminal angioplasty and implantation of a Palmaz Schatz stent. There were no complications of the procedure and the patient was asymptomatic one year later.
左冠状动脉主干急性闭塞通常是心源性休克、严重心律失常或猝死的原因。尽管急诊冠状动脉血管造影在急性心肌梗死中已广泛应用,但左冠状动脉主干闭塞很少见,其治疗仍存在争议。作者报告了一例既往有霍奇金病放疗史的年轻男性患者,因左冠状动脉主干完全血栓形成导致急性心肌梗死入院,接受了经皮腔内血管成形术及Palmaz Schatz支架植入术治疗。手术无并发症,患者一年后无症状。