由于左主冠状动脉干压缩导致的急性冠状动脉综合征:左心房耳朵剪切后2个月:一个病例报告
Satoshi Uchida1, Daiki Takekawa2, Koudai Kato2
1Department of Anesthesiology, Hirosaki University Graduate School of Medicine, 5 Zaifu-Cho, Hirosaki, 036-8562, Japan. suchida35@hirosaki-u.ac.jp.
JA clinical reports
|July 12, 2023
概括
左心房附属体 (LAA) 剪切可能会导致急性冠状动脉综合征 (ACS),由于剪切压缩冠状动脉,甚至在手术后几个月. 这一案例凸显了在ACS诊断中考虑LAA剪贴并发症的重要性.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 左心房附属体 (LAA) 剪切是预防心房的患者血栓栓塞的标准程序.
- 急性冠状动脉综合征 (ACS) 是LAA剪切后的一种罕见但可能致命的并发症.
- 本报告详细介绍了LAA剪切后ACS的延迟呈现.
研究的目的:
- 报告一个急性冠状动脉综合征 (ACS) 的独特病例,发生在左心房附属体 (LAA) 剪切后两个月.
- 强调考虑延迟LAA片并发症作为ACS的原因的重要性.
主要方法:
- 一名33岁的男性患有心房动,在动脉置换过程中接受了LAA剪切.
- 手术后两个月,患者心脏骤停,并接受紧急冠状动脉血管学和血管内超声学.
- 进行了穿皮冠状动脉干预,安装了支架,随后切除了片.
主要成果:
- 冠状动脉扫描显示,LAA剪贴正在压缩左侧冠状动脉干,导致ACS.
- 患者成功地接受了穿皮冠状动脉干预和LAA剪贴去除.
- 这表明LAA剪切的延迟机械并发症.
结论:
- 冠状动脉被LAA剪辑压缩可能导致ACS,即使是在远程的时间点后手术.
- 临床医生应考虑LAA剪切诱导的冠状动脉压缩作为先前LAA剪切患者的ACS的差异诊断.
- 及时诊断和干预,包括剪切切除,对于管理这种并发症至关重要.
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