Honeycomb-like structure (HLS) in the left anterior-descending coronary artery-recanalized thrombus demonstrated by intravascular ultrasound (IVUS) in a patient with polycythemia vera and thrombocythemia.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Herz Pub Date : 2023-12-01 Epub Date: 2023-08-11 DOI:10.1007/s00059-023-05193-3

Xiaoyuan Gao, Bingkun Liu, Xinyun Li, Siyuan Ma, Guoying Su, Zhenhua Li

引用次数: 0

Abstract

A 71 year old male patient who experienced acute myocardial infarction (AMI) 4 years ago and had a history of polycythemia vera and thrombocythemia was admitted because acute attack of chronic heart failure. Coronary angiography revealed an unusual filling defect in the middle segment of the left anterior descending (LAD) coronary artery and IVUS showed it is a HLS which is different from dissection or woven coronary artery. We review the recent literature of HLS in this article and further investigations are warranted for the optimal management of HLS.

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真性红细胞增多症和血小板增多症患者血管内超声(IVUS)显示左冠状动脉前降再通血栓的蜂窝状结构(HLS)。

患者男性71岁，4年前发生急性心肌梗死，既往有真性红细胞增多症和血小板增多症病史，因慢性心力衰竭急性发作入院。冠状动脉造影显示冠状动脉左前降支中段有一不寻常的充盈缺损，IVUS显示为HLS，不同于夹层或编织状冠状动脉。在本文中，我们回顾了最近关于HLS的文献，并对HLS的最佳治疗进行了进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Herz 医学-心血管系统

CiteScore

3.00

自引率

5.90%

发文量

审稿时长

4-8 weeks

期刊介绍： Herz is the high-level journal for further education for all physicians interested in cardiology. The individual issues of the journal each deal with specific topics and comprise review articles in English and German written by competent and esteemed authors. They provide up-to-date and comprehensive information concerning the speciality dealt with in the issue. Due to the fact that all relevant aspects of the pertinent topic of an issue are considered, an overview of the current status and progress in cardiology is presented. Reviews and original articles round off the spectrum of information provided.