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同时的起器穿孔和亚急性冠状动脉支架血栓形成:一个病例报告
Omar Shaikh1, Hafsa Shaikh2, Berkay Karahacioglu3
1Cardiology, University Hospitals Dorset NHS Foundation Trust, Bournemouth, GBR.
Cureus
|July 17, 2023
概括
支架和心脏起器手术后的胸部疼痛可能是严重并发症的信号. 这个案例突出了同时发生的穿孔和支架血栓形成,穿孔是症状的可能原因.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 干预心脏病学 干预心脏病学
背景情况:
- 冠状动脉支架插入和心脏起器植入后的胸痛需要仔细的差异诊断.
- 支架血栓和穿孔是关键的,尽管不常见,术后并发症.
研究的目的:
- 报告一个不同寻常的同时发生支架血栓和穿孔的病例.
- 为了强调在患有术后胸痛的患者中考虑这两种并发症的重要性.
主要方法:
- 一名78岁的男性在一次性穿皮冠状动脉干预 (PPCI) 和永久起器 (PPM) 插入后一周出现胸痛.
- 诊断成像包括胸部的计算机断层扫描 (CT) 和CT冠状动脉血管造影 (CTCA).
主要成果:
- CTCA揭示了左环动脉 (LCx) 中的支架血栓形成.
- 胸部CT显示由双腔室永久起器引进的同时穿孔.
- 穿孔被确定为患者胸部疼痛的最可能原因.
结论:
- 在干预手术后,可以同时发生支架血栓形成和穿孔.
- 高度的怀疑指数和适当的成像对于诊断这些罕见的并发症至关重要.
- 及时诊断和管理对于患者的治疗结果至关重要.
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