右冠状动脉慢性完全闭塞病变经皮冠状动脉介入治疗术中冠状动脉穿孔和主动脉夹层一例
陈鹏,程江涛,胡宇才,朱初麟
摘要(Abstract):
<正>患者女,63岁,以"劳力性心前区闷痛2年,加重1周"入院。2年前患者在散步后出现胸骨后闷痛,可放射至后背,持续约10 min,休息或含服硝酸甘油后缓解。以"冠心病"在当地医院住院治疗后症状缓解,出院后长期口服阿司匹林、美托洛尔、阿托伐他汀、单硝酸异山梨酯等药物,胸闷、胸痛症状显著改善。1周前患者因生气后胸闷、胸痛症状加重,舌下含化硝酸甘油未缓解,遂由门诊入住河南中医学院第一附属医院心血管科治疗。患者既往高血压病史5年,最
关键词(KeyWords): 右冠状动脉;经皮冠状动脉介入治疗;冠状动脉穿孔;主动脉夹层
基金项目(Foundation):
作者(Author): 陈鹏,程江涛,胡宇才,朱初麟
参考文献(References):
- [1]Fasseas P,Orford JL,Panetta CJ,et al.Incidence correlates management and clinical outcome of coronary perforation:analysis of 16,298 procedures.Am Heart J,2004,147:140-145.
- [2]王耿,韩雅玲,荆全民,等.10例冠状动脉穿孔患者置入带膜支架后的长期随访研究.中国介入心脏病学杂志,2012,20:241-244.
- [3]Dippel EJ,Kereiakes DJ,Tramuta DA,et al.Coronary perforation during percutaneous coronary intervention in the era of abciximab platelet glycoproteinⅡb/Ⅲa blockade:an algorithm for percutaneous management.Catheter Cardiovasc Interv,2001,52:279-286.
- [4]Al-Lamee R,Ielasi A,Latib A,et al.Incidence,predictors,management,immediate and long-term outcomes following gradeⅢcoronary perforation.JACC Cardiovasc Interv,2011,4:87-95.
- [5]Alfonso F,Almeria C,Fernandez-Ortiz A,et al.Aortic dissection occurring during coronary angioplasty:angiographic and transesophageal echocardiographic findings.Cathet Cardiovasc Dign,1997,42:412-415.
- [6]Goldstein JA,Casserly IP,Katsiyiannis WT,et al.Aortocoronary dissection complicating a percutaneous coronary intervention.J Invasive Cardiol,2003,15:89-92.