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題 名 | Extensive Dissection to the Right Sinus of Valsalva in Coronary Angioplasty: Case Report=經由介入性治療引發之罕見右冠狀動脈剝離:病例報告 |
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作 者 | 葉漢根; 吳炯仁; 葉國和; 傅懋洋; | 書刊名 | 長庚醫學 |
卷 期 | 23:5 2000.05[民89.05] |
頁 次 | 頁296-302 |
分類號 | 415.384 |
關鍵詞 | 氣球擴張術; 冠狀動脈剝離; 往回延伸之大動脈竇; Balloon angioplasty; Coronary dissection; Retrograde extension; |
語 文 | 英文(English) |
英文摘要 | Percutaneous transluminal coronary angioplasty was first introduced in 1977 by Gruentzig and now provides the option of nonsurgical revascularization for up to 1/2 of patients who undergo diagnostic catheterization for coronary artery disease. Today, although there have been great improvements in technology and operator experience, complications still occur during coronary angiography and revascularization. Coronary dissection, one of the most frequently occurring complications during angiography and angioplasty, occurs in various forms. However, right coronary dissection and retrograde extension to the aortic sinus of Valsalva is extremely unusual during an interventional procedure. We report such an unusual complication which occurred during balloon angioplasty and which was successfully managed by coronary stenting. This unusual complication may have potential risk of quickly involving the entire aorta, causing acute severe aortic regurgitation, acute myocardial infarction, requiring emergency surgery, and even resulting in death. Therefore, prompt diagnosis and management of this complication are very important. |
本系統中英文摘要資訊取自各篇刊載內容。