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頁籤選單縮合
題 名 | Catastrophic Complication of Stent Perforation in a Uremic Patient with Acute Myocardial Infarction=經皮冠狀動脈導管手術罕見的致命性併發症--支架穿孔 |
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作 者 | 李秋陽; 曾淵如; | 書刊名 | Journal of the Chinese Medical Association |
卷 期 | 72:4 2009.04[民98.04] |
頁 次 | 頁207-209+CA40 |
分類號 | 416.262 |
關鍵詞 | 急性心肌梗塞; 冠狀動脈繞道手術; 經皮冠狀動脈手術; Acute myocardial infarction; AMI; Coronary artery bypass grafting; CABG; Percutaneous coronary intervention; PCI; |
語 文 | 英文(English) |
英文摘要 | Catheter-induced coronary artery dissection is a rare but devastating complication of coronary angiography and percutaneous coronary intervention (PCI). Complications during PCI include coronary artery dissection, intramural hematoma, coronary artery perforation, and occlusion of branch vessels. Stent perforation is more unusual and potentially fatal. Here, we report a 68-year-old uremic woman who underwent primary PCI for her acute myocardial infarction. Unfortunately, dissection of the left proximal coronary artery by a guide catheter, followed by stent implantation, resulted in stent perforation through the middle left coronary artery and severe laceration of the left coronary orifice. Cardiogenic shock leading to cardiac arrest occurred. Emergency coronary artery bypass grafting and aortomy for left coronary orifice repair were conducted. The patient’s postoperative course was uneventful, and she was discharged 15 days after surgery. From the successful outcome in this patient, we speculate that both better selection of patients and lesions for angioplasty and surgical standby may prove to be life-saving and effectively decrease subsequent mortality for patients experiencing devastating complications during PCI. |
本系統中英文摘要資訊取自各篇刊載內容。