先天性冠状动脉夹层延伸至升主动脉。

Q4 Dentistry
Dzhem Farandzha, Iva Gasharova-Petrova, Dobri Hazarbasanov
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引用次数: 0

摘要

经皮冠状动脉介入治疗最可怕的并发症之一是冠状动脉夹层。在极少数情况下,这种夹层会扩展到升主动脉,这时可能需要手术干预。我们介绍了一例 50 岁患者的病例,该患者患有新发心绞痛和双血管冠状动脉疾病,接受了右冠状动脉经皮冠状动脉介入治疗,并发症是先天性冠状动脉夹层延伸至升主动脉。由于持续的胸痛和夹层的范围,医生决定实施紧急心脏手术。术后的计算机断层扫描显示主动脉没有夹层迹象,所有主动脉段的尺寸都正常。患者病情稳定后出院回家。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Iatrogenic coronary artery dissection extending into the ascending aorta.

One of the most feared complications of percutaneous coronary interventions is coronary artery dissection. Rarely, such dissections can propagate into the ascending aorta, which may then require surgical intervention. We present the case of a 50-year-old patient with new-onset angina and two-vessel coronary artery disease who underwent percutaneous coronary intervention on the right coronary artery, complicated by an iatrogenic coronary dissection extending into the ascending aorta. A decision was taken to perform emergent cardiac surgery due to ongoing chest pain and the extent of the dissection. Computed tomography after surgery revealed no signs of aortic dissection with normal dimensions in all aortic segments. The patient was discharged home in a stable condition.

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来源期刊
Folia medica
Folia medica Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
121
审稿时长
5 weeks
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