- 期刊
Spontaneous Left Main Coronary Artery Dissection: A Case Report
自發性左主冠狀動脈剝離－病例報告
摘要
冠狀動脈剝離是危及生命的疾病，而自發性左主冠狀動脈剝離則是相當罕見的。本文報告一位58歲糖尿病男性患者，於常規心導管檢查時發現其有自發性左主冠狀動脈剝離。在整個心導管檢查過程中，有持續剝離的情況但無明顯惡化。心導管檢查前後，患者前無明顯胸痛且心電圖並無變化，之後接受緊急冠狀動脈繞道手術，手術過程順利。術後患者並無胸痛情形且定期接受心臟內科門診追蹤。
關鍵字
左主冠狀動脈,剝離並列摘要
Coronary artery dissection is a devastating disease, but spontaneous left main coronary artery dissection is extremely rare. We present the case of a 58-year-old diabetic man found to have primary spontaneous left main coronary artery dissection during a coronary angiography examination. Although the dissecting lesion persisted, he had no peri-procedural chest discomfort or electrocardiographic change. We performed urgent coronary artery bypass grafting, which was uneventful. The patient received regular cardiovascular follow-up and did not complain of any postoperative chest discomfort. He had an uneventful recovery.
延伸閱讀
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