血栓抽吸治疗冠状动脉瘤内血栓形成导致心肌梗死1例Aspiration thrombectomy for coronary aneurysms causing acute myocardial infarction: a case report
韩永生,汪庆童,沈磊,袁基科,吴红心,李婷婷,彭俊夫
摘要(Abstract):
冠状动脉瘤样扩张又称冠状动脉瘤(CAA)。CAA内血栓形成导致急性心肌梗死在临床上比较少见,患者病变瘤体内往往血栓负荷较重。强化抗血小板聚集、支架置入等常规治疗策略可能并不适合这类患者。本文报道1例采用单纯血栓抽吸、术后长期抗凝联合冠心病二级预防治疗CAA内血栓形成导致心肌梗死患者。
关键词(KeyWords): 冠状动脉瘤;急性心肌梗死;血栓抽吸
基金项目(Foundation): 国家自然科学基金项目(81973314);; 安徽省重点研究与开发计划项目(1804h08020291)
作者(Author): 韩永生,汪庆童,沈磊,袁基科,吴红心,李婷婷,彭俊夫
参考文献(References):
- [1] Abou Sherif S, Ozden Tok O, Ta?k?ylü?,et al. Coronary artery aneurysms:a review of the epidemiology, pathophysiology,diagnosis, and treatment[J]. Front Cardiovasc Med, 2017, 4:24.
- [2] Williams MJ, Stewart RA. Coronary artery ectasia:local pathology or diffuse disease[J]? Cathet Cardiovasc Diagn, 1994, 33(2):116-119.
- [3] Ramappa P, Kottam A, Kuivanemi H, et al. Coronary artery ectasia–is it time for a reappraisal[J]? Clin Cardiol, 2007, 30(5):214-217.
- [4]吴玉清,李巅远,胡盛寿,等.冠状动脉瘤的外科治疗[J].中华外科杂志,2002,40(5):351-353.
- [5]杨泉,卢成志,田云朋.冠状动脉瘤样病变的冠状动脉造影及血管内超声特点分析[J].中国介入心脏病学杂志,2018, 26(4):204-208.
- [6] Demopoulos VP, Olympios CD, Fakiolas CN, et al. The natural history of aneurysmal coronary artery disease[J]. Heart, 1997, 78(2):136-141.
- [7]刘韵情,荆全民,王斌,等.经皮冠状动脉介入治疗术后瘤样扩张再置入覆膜支架2例[J].中国介入心脏病学杂志,2019, 27(12):715-717.
- [8] Kilic ID, Fabris E, Serdoz R, et al. Coronary covered stents[J]. EuroIntervention, 2016,12(10):1288-1295.
- [9]官洪山.冠状动脉瘤的临床研究进展[J].心血管病学进展,2019,40(1):38-41.