隐藏在钙化病变下的蜂巢现象1例报告
支伟,姜云发,汪雁博,郝国贞
摘要(Abstract):
<正>1临床资料患者男,67岁。因"间断胸闷、气短2个月"于2018年12月1日收入河北医科大学第二医院心内科。患者于2个月前劳累后出现胸闷、胸痛,无肩背部放射痛,症状持续不缓解,就诊于当地医院,诊断为急性心肌梗死。行冠状动脉造影示:左主干(left main coronary artery,LM)未见异常,左前降支(left anterior descending artery,LAD)近端钙化,自近端起急性完全闭塞,左回旋支(left circumflex,LCX)多发斑块浸润,未见明显狭窄,右冠状动脉(right coronary artery,RCA)弥漫斑块浸润,未见明显狭窄,未行介入治疗,经药物治疗后症状好转出院。出院后规律服用抗血小板、
关键词(KeyWords): 经皮冠状动脉介入治疗;蜂巢现象
基金项目(Foundation): 河北省2017年度医学科学研究重点课题计划
作者(Author): 支伟,姜云发,汪雁博,郝国贞
参考文献(References):
- [1] Baysal E, Acar B, Burak C. Woven right coronary artery:a rare coronary anomaly. Indian Heart J,2015,67(6):611-612.
- [2] Yuan S. Woven coronary artery:a case report and literature review. Folia Morphol(Warsz),2013,72(3):263-266.
- [3] Val-Bernal JF, Malaxetxebarria S, González-Rodilla I, et al.Woven coronary artery anomaly presenting as sudden cardiac death. Cardiovasc Pathol,2017,26:7-11.
- [4] Ayhan S, Ozturk S, Tekelioglu UY, et al. Woven coronary artery anomaly associated with acute coronary syndrome. Int J Angiol, 2013,22(1):55-58.
- [5] Suzuki S, Sotomi Y, Nakatani S, et al. Histopathologic insights into the honeycomb-like structure in the coronary artery:in vivo multimodality imaging assessment with directional coronary atherectomy. JACC Cardiovasc Interv, 2018, 11(19):e157-e159.
- [6] Kubo T, Imanishi T, Kitabata H, et al. Comparison of vascular response after sirolimus-eluting stent implantation between patients with unstable and stable angina pectoris:A serial optical coherence tomography study. JACC Cardiovasc Imaging,2008,1(4):475-484.
- [7] Soeda T, Uemura S, Park SJ, et al. Incidence and clinical signif icance of poststent optical coherence tomogra phy findings:one-year follow-up study from a multicenter registry.Circulation, 2015, 132(11):1020-1029.
- [8] Kawamori H, Shite J, Shinke T, et al. Natural consequence of post-intervention stent malapposition, thrombus, tissue prola pse, and dissection assessed by optical coherence tomography at mid-term follow-up. Eur Heart J Cardiovasc Imaging,2013,14(9):865-875.
- [9] Gonzalo N, Serruys PW, Okamura T,et al. Optical coherence tomography assessment of the acute effects of stent implantation on the vessel wall:a systematic quantitative approach. Heart,2009,95(23):1913-1919.
- [10]张斌,陈明.冠状动脉支架内组织脱垂研究进展.中国介入心脏病学杂志,2013, 21(4):244-247.