文献简介

出版社:J Card Surg

作  者:Amedeo Anselmi

编  号:10.1111/jocs.12138

关键字:

年  份:2013   点击量:584

文献摘要

ABSTRACT

Background: Coronary spasm has been described in the context of carcinoid heart disease, but few information are avilable over perioperative coronary spasm.

Methods: We describe the case of a patient developing severe spasm of the entire coronary tree immediately after tricuspid valve surgery for carcinoid heart disease, leading to severe myocardial failure.

Results: The spasm was diagnosed by coronary angiography and resolved by intracoronary injection of trinitrine.We present the angiographic features of simultaneous spasm of all coronary arteries and of its evolution.

Conclusion: The present case illustrates the likelihood of perioperative spasm of the entire coronary tree in carcinoid heart disease, and the usefulness of coronary angiography for both diagnosis and treatment.

摘要

背景:类癌性心脏病的文献中描述了冠状动脉痉挛,但是能及时拍摄围手术期的冠状动脉痉挛的信息却很少。

方法:我们描述了一位类癌性心脏病患者发生严重的冠状动脉痉挛情况下,立即进行三尖瓣手术,导致了患者严重的心脏衰竭。

结果:经冠状动脉造影确诊,并在冠状动脉内注射三硝基甘油痉挛得以解决。因此我们提出了冠状动脉痉挛的血管造影的特性及其演变。

结论:本案例说明了在类癌性心脏病的整个围手术期可能发生的冠状动脉痉挛,通过冠状动脉造影得到有效地诊断和治疗。