侧面美左主干闭锁

S. Ranchordás, A. Vazão, Francisco Soares, Marta Marques
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引用次数: 0

摘要

一名 53 岁的男子没有心脏缺血性症状,但在 Holter 监测中出现动态心室复极化变化,因此在择期进行非心脏手术前接受了心脏检查。有创冠状动脉造影和计算机断层扫描冠状动脉造影显示左主干闭锁,右冠状动脉袢逆行供应左冠状动脉循环。超声心动图未显示任何改变。心脏磁共振心肌灌注成像显示没有缺血。在 18 个月的随访期间,患者一直没有缺血症状,因此无需进行干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Collateral beauty: Left main stem atresia
A 53-year-old man with no ischemic cardiac symptoms but dynamic ventricular repolarization changes in Holter monitoring underwent cardiac investigation prior to elective non cardiac surgery. Invasive coronary angiography followed by computed tomography coronary angiography showed left main stem atresia with collaterals from the right coronary artery supplying retrogradely the left coronary circulation. The echocardiogram showed no alterations. Cardiac magnetic resonance myocardial perfusion imaging showed no ischemia. During the 18-month follow-up period, the patient remained asymptomatic for ischemic events and therefore no intervention was deemed necessary.
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