陈涵,王江友

• 1:武汉亚洲心脏病医院心脏外科ICU
• 2:武汉亚洲心脏病医院心内科

摘要(Abstract)：

<正>1临床资料患者男,64岁,因"胸闷、气促半月"于2015年6月2日就诊武汉亚洲心脏病医院,诊断:心脏瓣膜病,主动脉瓣中度关闭不全,二尖瓣中-重度关闭不全,三尖瓣轻度反流,心房颤动(房颤),心功能Ⅲ级。患者瓣膜病变诊断明确,为行进一步外科手术,于2015年6月8日行冠状动脉造影评估冠状动脉病变情况:单支病变,回旋支远段节段性、偏心性狭窄,长约11 mm,狭窄程度60%(图1)。完善术前检查,评估

关键词(KeyWords)： 冠状动脉痉挛;射频消融

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陈涵,王江友

参考文献(References)：

• [1]Buxton AE,Goldberg S,Harken A,et al.Coronary-artery spasm immediately after myocardial revascularization:recognition and management.N Engl J Med,1981,304(21):1249-1253.
• [2]Buxton AE,Hirshfeld JW Jr,Untereker WJ,et al.Perioperative coronary arterial spasm:long-term follow-up.Am J Cardiol,1982,50(3):444-451.
• [3]Yasue H,Nakagawa H,Itoh T,et al.Coronary artery spasm--clinical features,diagnosis,pathogenesis,and treatment.J Cardiol,2008,51(1):2-17.
• [4]Schena S,Wildes T,Beardslee MA,et al.Successful management of unremitting spasm of the nongrafted right coronary artery after off-pump coronary artery bypass grafting.J Thorac Cardiovasc Surg,2007,133(6):1649-1650.
• [5]Yoshida T,Kobayashi Y,Nakayama T,et al.Stent deformity caused by coronary artery spasm.Circ J,2006,70(6):800-801.