کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5592683 1405032 2017 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
STEMI with fluctuating closing of LAD and Cx
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی پزشکی مولکولی
پیش نمایش صفحه اول مقاله
STEMI with fluctuating closing of LAD and Cx
چکیده انگلیسی
Case report of the male with an anterior STEMI to whom a primary PCI is performed. The angiogram shows a fluctuating close of the LAD and Cx than when an OCT is performed does not clearly see any pathological findings but when the IVUS is performed, it is clearly seen as a coronary haematoma at the LM, LAD and Cx. Stent at the LM-LAD and proximal Cx are implanted with final good result. After exchanging the guiding catheter for a diagnostic catheter to visualize the RCA, there is an aortic flap; the coronary haematoma was coming from an ascending aortic dissection. The CT confirms the type A aortic dissection and the patient is sent to urgent surgery where it seems that the point of intimal disruption is close to brachiocephalic trunk; a supracommissural ascending aortic replacement is performed. After several complications the patient did well and he is alive. Although the patient got the right approach, as we focused on the coronary arteries we did not realized there was an aortic dissection until the end of the procedure.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Cardiovascular Revascularization Medicine - Volume 18, Issue 5, Supplement 1, July–August 2017, Pages S35-S39
نویسندگان
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