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Spontaneous Coronary Artery Dissection: A Report of Two Cases and Review of the Literature

自發性冠狀動脈剝離之二病例報告及文獻回顧

摘要


自發性冠狀動脈剝離是一種罕見且極易被疏忽的缺血性心臟病原因。其長期的預後情形及治療效果仍未清楚。我們報告二病例分別以藥物治療及血管支架治療的形,並回顧相關文獻之討論。

並列摘要


Spontaneous coronary artery dissection is an easily ignored cause of ischemic heart disease. The long term prognosis and optimal treatment is not clear. Two patients with spontaneous dissection of the right coronary artery complained of intermittent chest tightness. There was no history of trauma, catheterization, and associated aortic disease. They were treated with medical therapy and stent respectively according to the severity of clinical manifestation. Fourteen-month angiographic results of medical treatment and clinical status of stenting are good. The results of these different treatments are both effective.

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