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題 名 | Coronary Artery Bypass Surgery in a 24-Year-Old Man: A Case Report and Review of Literature=冠狀動脈繞道手術在一24歲男性:病例報告與文獻回顧 |
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作 者 | 吳豪揚; 洪國峻; 李國楨; 李世俊; 蔡建松; | 書刊名 | 醫學研究 |
卷 期 | 20:3 1999.12[民88.12] |
頁 次 | 頁157-163 |
分類號 | 416.262 |
關鍵詞 | 冠狀動脈疾病; 冠狀動脈繞道手術; 致病危險因子; Coronary artery disease; CAD; Coronary artery bypass graft; CABG; Predisposing risk factors; |
語 文 | 英文(English) |
中文摘要 | 本篇報告一個二十四歲男性罹患冠狀動脈疾病的病例。入院時,主訴稍微用力的活動時即有呼吸困難與胸部壓迫感,心電圖顯示缺氧徵兆及陳舊性心室前壁梗塞,安排心導管檢查發現有兩條血管狹窄;左前降枝冠狀動脈與右冠狀動脈。實施立即性的經皮穿刺冠狀動脈擴張術效果不好,於是改以外科冠狀動脈繞道手術治療,以左側內乳動脈接至左前降枝冠狀動脈,三條靜脈分別接至第二斜對角枝、後外側枝、後降枝冠狀動脈。術後病人恢復情況良好。我們針對年輕人罹患冠狀動脈疾病的主要因子予以探討;並經由報告,此例可提醒我們在臨床評估時,冠狀動脈疾病只發生於老年人可能是個謬誤。 |
英文摘要 | A rare case of coronary artery disease in a 24-year-old man is presented. On admission, chest distress and dyspnea on exertion was complained. A resting ECG revealed ischemic pattern and evidence of old anterior wall myocardial infarction. Coronary angiography (CAG) disclosed severe narrowing of 2 vessels: left anterior descending artery (LAD) and right coronary artery (RCA). Immediate percutaneous transluminall angioplasty (PTCA) was carried out but failed. Further surgical coronary artery bypass graft (CABG) for revascularization was performed with left internal mammary artery to the LAD, and three great saphenous vein grafts for aorto-coronary conduits of the RCA territory and the second diagonal branch. Postoperatively, the patient recovered well with uneventful course. The main predisposing risk factors for coronary artery disease (CAD) in young people are discussed. After presentation, our case can help us to keep in mind that CAD always affects the aged patients might be a pitfall in clinical practice. |
本系統中英文摘要資訊取自各篇刊載內容。