刺痛诱导的冠状动脉瘤通过支架进行管理.
Sant Kumar1, Samhita Sengupta1, Abeeha Naqvi1
1Department of Cardiology, Creighton University School of Medicine, Phoenix, Arizona, USA.
JACC. Case reports
|April 1, 2025
概括
穿透胸部创伤可以导致青少年罕见的冠状动脉损伤. 这一案例表明,在初始胸部创伤后,使用覆盖式支架成功治疗创伤性冠状动脉虚瘤.
科学领域:
- 心脏病学 心脏病学
- 创伤外科 手术 创伤外科
- 青少年医学 青少年医学
背景情况:
- 透胸部创伤在青少年中不常见,但可能导致严重的心脏并发症.
- 冠状动脉损伤是这种创伤的潜在,尽管很少见的后果.
研究的目的:
- 报告一个青少年创伤性冠状动脉伪动脉瘤病例.
- 为了突出多式成像的诊断实用性.
- 讨论覆盖式支架对于这种罕见的伤害的有效性.
主要方法:
- 一名16岁的男子出现了刺伤后的胸痛.
- 初始的胸腔管用于血胸;复发的症状促使进一步调查.
- 冠状动脉计算机断层扫描血管学 (CCTA) 在左前下降动脉中发现了伪动脉瘤.
主要成果:
- 诊断出左前下降动脉的两个伪动脉瘤.
- 患者通过覆盖式支架成功进行了冠状动脉支架.
- 在1年随访后观察到显著的临床改善.
结论:
- 包括CCTA在内的多式成像对于诊断创伤性冠状动脉损伤至关重要.
- 覆盖式支架是一种可行且有效的治疗方法,用于治疗青少年因穿透创伤而导致的左前下降动脉伪动脉瘤.
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