- 期刊
Primary Percutaneous Coronary Intervention in an Anomalous Right Coronary Artery in a Patient with Acute ST-Segment Elevation Myocardial Infarction
於一異常右冠狀動脈引起之急性ST段上升心肌梗塞之個案施行緊急經皮冠狀動脈介入治療
摘要
源自左側主動脈竇的右冠狀動脈為一種罕見的先天性冠狀動脈異常。雖然可以查詢到對於此種異常冠狀動脈之動脈硬化病灶施行經皮介入治療的文獻，但針對因血栓性阻塞所造成之急性ST段上升心肌梗塞施行緊急經皮介入治療的討論目前僅有四例。此篇文章描述一位因異常右冠狀動脈所造成之急性心肌梗塞的65歲男性病人，成功地接受緊急經皮介入治療，並在幾天後出院，目前持續於門診追蹤且情況穩定。
並列摘要
An anomalous right coronary artery (RCA) arising from the left sinus of Valsalva is a rare congenital coronary anomaly. Although there are reports of percutaneous coronary intervention (PCI) for atherosclerotic lesions of this unusual coronary anomaly, only four cases of acute ST-segment elevation myocardial infarction caused by thrombotic occlusion of an anomalous RCA managed with primary PCI have been documented previously. Herein, we describe a 65-year-old man who had successful PCI in an anomalous RCA in the clinical setting of acute myocardial infarction. The patient was discharged a few days later and has been well during OPD follow-up.
延伸閱讀
- 韋詩娟（2015）。縮短ST段上升之急性心肌梗塞病患執行緊急冠狀動脈介入術時間之政策評估分析－以北區某區域醫院為例〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-0807201514325500
- Wei, S. M., & Lin, C. H. (2012). 在施行無體外循環不停跳心臟冠狀動脈繞道術中暫時性冠狀動脈血流阻斷對心肌之影響. 輔仁醫學期刊, 10(4), 185-191. https://www.airitilibrary.com/Article/Detail?DocID=18102093-201212-201304120011-201304120011-185-191
- Cheng, H. Y., Yeh, H. I., Hou, C. J. Y., Tsai, C. H., & Wang, K. T. (2007). 急性心肌梗塞予以無心臟外科在場之立即性經皮冠狀動脈介入性治療－在台東之單一醫院經驗. Acta Cardiologica Sinica, 23(3), 160-168. https://www.airitilibrary.com/Article/Detail?DocID=10116842-200709-23-3-160-168-a
- 陳彥勳（2012）。接受成功立即性冠狀動脈介入治療之ST 波段上升急性心肌梗塞病人早期出院之特徵〔碩士論文，長榮大學〕。華藝線上圖書館。https://doi.org/10.6833/CJCU.2012.00228
- Chi, M. H., Chen, M. R., Hwang, H. K., & Lin, Y. C. (2007). 經皮心導管螺旋線圈栓塞術治療一個巨大的右冠狀動脈至右心室動脈瘻管. Acta Cardiologica Sinica, 23(1), 43-49. https://www.airitilibrary.com/Article/Detail?DocID=10116842-200703-23-1-43-49-a