针孔球囊破裂致医源性左主干冠状动脉剥离:不要惊慌....

Acute cardiac care Pub Date : 2015-12-01 Epub Date: 2016-06-09 DOI:10.3109/17482941.2016.1174271
Balakumaran Jeyakumaran, Ajay Raj, Bhagya Narayan Pandit, Tarun Kumar, Surender Deora
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引用次数: 1

摘要

医源性左主干冠状动脉剥离是一种罕见的并发症,如果不立即干预,可能会造成毁灭性的后果。治疗包括紧急血运重建术,主要是经皮冠状动脉介入治疗(PCI)和纾困支架置入,很少需要冠状动脉旁路移植术(CABG)。在临床和血流动力学稳定的患者中,保守入路可能是首选。在此,我们报告一例罕见的医源性LMCA逆行性夹层,因血管成形术球囊针孔破裂而被保守处理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Iatrogenic left main coronary artery dissection due to pin-hole balloon rupture: Not to be panicked….

Iatrogenic left main coronary artery (LMCA) dissection is a rare complication and may have devastating consequences if not immediately intervened. The management includes urgent revascularization mostly with percutaneous coronary intervention (PCI) with bail-out stenting and rarely requires coronary artery bypass graft (CABG) surgery. In clinically and hemodynamically stable patients, a conservative approach may be preferred. Here, we present a rare case of iatrogenic retrograde LMCA dissection due to pin-hole rupture of angioplasty balloon that was managed conservatively.

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