秦鹤锦,戴宇翔,张峰,杨继娥,黄浙勇,钱菊英,葛均波

• 1:上海心血管病研究所复旦大学附属中山医院心内科

摘要(Abstract)：

<正>1临床资料病例1患者女,59岁,因"活动后胸闷、胸痛10 d"入院。入院前10 d剧烈活动后突发胸闷、胸痛2次,位于胸骨中下段,伴紧缩感、肩背部放射痛,休息20 min左右均可自行缓解。既往高血压病史20余年,目前控制可。否认糖尿病、高脂血症病史。2009年行胸椎神经鞘瘤术。2011年乳腺癌根治术,术后化疗6次,目前赫赛汀靶向治疗。入

关键词(KeyWords)： 冠状动脉壁内血肿;急性冠状动脉综合征;血管内超声;光学相干断层扫描成像;CT血管造影

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学青年基金项目(81300095)

作者(Author): 秦鹤锦,戴宇翔,张峰,杨继娥,黄浙勇,钱菊英,葛均波

参考文献(References)：

• [1]Tweet MS,Gulati R,Hayes SN.Spontaneous coronary artery dissection.Curr Cardiol Rep,2016,18(7):60.
• [2]Alfonso F,Bastante T,Cuesta J,et al.Spontaneous coronary artery dissection:novel insights on diagnosis and management.Cardiovasc Diagn Ther,2015,5(2):133-140.
• [3]Kassimis G,Manolis A,Townend JN.Spontaneous coronary artery dissection/intramural haematoma in young women with STelevation myocardial infarction:"It is not always a plaque rupture event".Case Rep Cardiol,2015,2015:597234.
• [4]Ikegami R,Tsuchida K,Oda H.Acute myocardial infarction caused by spontaneous coronary intramural hematoma.J Invasive Cardiol,2012,24(12):692-693.
• [5]Shahzad K,Cao L,Ain QT,et al.Postpartum spontaneous dissection of the first obtuse marginal branch of the left circumflex coronary artery causing acute coronary syndrome:a case report and literature review.J Med Case Rep,2013,7:82.
• [6]Saw J,Mancini GB,Humphries K,et al.Angiographic appearance of spontaneous coronary artery dissection with intramural hematoma proven on intracoronary imaging.Catheter Cardiovasc Interv,2016,87(2):E54-E61.
• [7]Alfonso F,Bastante T,García-Guimaraes M,et al.Spontaneous coronary artery dissection:new insights into diagnosis and treatment.Coron Artery Dis,2016,27(8):696-706.
• [8]Raja Y,Trevelyan J,Doshi SN.Intramural hemotoma presenting as acute coronary syndrome:the importance of intravascular ultrasound.Cardiol J,2012,19(3):323-325.
• [9]Johnson TW,Smith D,Strange JW,et al.Spontaneous multivessel coronary intramural hematoma:an insight with OCT.JACC Cardiovasc Imaging,2012,5(10):1070-1071.
• [10]Alfonso F,Paulo M,Gonzalo N,et al.Diagnosis of spontaneous coronary artery dissection by optical coherence tomography.J Am Coll Cardiol,2012,59(12):1073-1079.
• [11]Saw J,Ricci D,Starovoytov A,et al.Spontaneous coronary artery dissection:prevalence of predisposing conditions including fibromuscular dysplasia in a tertiary center cohort.JACC Cardiovasc Interv,2013,6(1):44–52.
• [12]Saw J,Aymong E,Sedlak T,et al.Spontaneous coronary artery dissection:association with predisposing arteriopathies and precipitating stressors and cardiovascular outcomes.Circ Cardiovasc Interv,2014,7(5):645–655.
• [13]Toggweiler S,Puck M,Thalhammer C,et al.Associated vascular lesions in patients with spontaneous coronary artery dissection.Swiss Med Wkly,2012,142:w13538.
• [14]Chue CD,Routledge HC,Townend JN.Spontaneous coronary artery dissection and the role for percutaneous coronary intervention:to treat or not to treat?J Invasive Cardiol,2009,21(3):E44-E47.
• [15]Al Emam AR,Almomani A,Gilani SA.Spontaneous coronary artery dissection and hemodynamic instability:can emergent PCI be l ife saving?report of two cases and literature review.Int J Angiol,2014,23(4):275-280.
• [16]Saw J,Mancini GB,Humphries KH.Contemporary review on spontaneous coronary artery dissection.J Am Coll Cardiol,2016,68(3):297-312.Majeed K,Glenie TJ.Spontaneous coronary artery dissection:once is never enough.Heart Lung Circ,2015,24(4):e43-e45.