NEJM:左冠状动脉主干动脉瘤-病例报道

2018-06-07 xing.T MedSci原创

冠状动脉瘤的原因包括动脉粥样硬化、血管炎、结缔组织疾病、先天性缺陷、感染和经皮冠状动脉介入治疗的并发症。

患者为一位49岁男性,既往有高血压,因接受重组组织型纤溶酶原激活剂治疗急性ST段抬高型心肌梗死后再发心绞痛而到医院就诊。

他的血压为113/68mmHg,心率为每分钟110次。心电图显示右束支传导阻滞和前外侧导联ST段抬高。肌钙蛋白I水平为164ng/dL(正常水平<0.04)。进行冠状动脉造影检查,左主冠状动脉张开形成一个大型的球形空腔—直径为69×53mm的动脉瘤,以造影剂填充显示螺旋状,左前降支和回旋动脉缓慢混浊。



冠状动脉瘤的原因包括动脉粥样硬化、血管炎、结缔组织疾病、先天性缺陷、感染和经皮冠状动脉介入治疗的并发症。

该患者接受了急症手术,但术后并发心源性休克,术后1天死亡。

原始出处:
 
Luis Arboine,et al.Left Main Coronary Artery Aneurysm.N Engl J Med 2018. https://www.nejm.org/doi/full/10.1056/NEJMicm1708877
 
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    2018-06-15 郭凯

    学习了

    0

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    2018-06-07 huixiangsir

    少见.学习.

    0

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    2018-06-07 lietome2

    认真学习.不断进步.把经验分享给同好.点赞了!

    0

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    2018-06-07 1ddf0692m34(暂无匿称)

    学习了.长知识

    0

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    2018-06-07 龙胆草

    学习谢谢分享

    0

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