曾淘,何华,林文达,林如波,谭永超

• 1:仁伯爵综合医院心脏科

摘要(Abstract)：

冠状动脉眨眼征是一种罕见的冠状动脉造影征象，表现为冠状动脉节段于收缩期塌陷、舒张期恢复充盈的动态征象，该征象与急性心肌梗死后机械性并发症的关联在临床上常被忽略。本病例报道1例79岁女性急性前壁心肌梗死患者，急诊冠状动脉造影提示左前降支99%狭窄，并于病变处观察到冠状动脉眨眼征。于左前降支病变处成功置入药物洗脱支架1枚，术后闻及新发响亮收缩期杂音，床旁超声心动图证实为前间隔心尖段室间隔穿孔，合并心尖区室壁瘤形成及左心室血栓。患者发病3周后成功接受室间隔穿孔修补术伴室壁瘤切除术及左心室血栓清除术，术后恢复良好。本病例提示在急性心肌梗死介入治疗中，识别冠状动脉眨眼征有助于早期警觉室间隔穿孔，对于及时启动多学科协作，改善预后至关重要。

关键词(KeyWords)： 冠状动脉眨眼征;室间隔穿孔;急性心肌梗死;经皮冠状动脉介入治疗;冠状动脉造影

Abstract:

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基金项目(Foundation):

作者(Author): 曾淘,何华,林文达,林如波,谭永超

参考文献(References)：

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