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Challenges in Diagnosis and Management of Spontaneous Coronary Artery Dissection in a Young Patient

机译:青年患者自发性冠状动脉夹层的诊断和管理挑战

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摘要

Spontaneous coronary artery dissection (SCAD) is characterized by tear of the inner layer in the coronary artery, creating a false lumen between the inner and central layer. Its infrequent incidence often leads to delay in diagnosis posing challenges in management. There are currently no guidelines for the treatment of this condition. We describe an adult patient who presented with multiple episodes of ventricular fibrillation, in whom cardiac catheterization showed SCAD, treated by off-pump coronary artery bypass.
机译:自发性冠状动脉解剖(SCAD)的特征是冠状动脉内层撕裂,在内层和中央层之间形成假管腔。其罕见的发病率常常导致诊断延迟,给管理带来挑战。目前尚无治疗此病的指南。我们描述了一名成人患者,其表现为多发性心室纤颤,其中心脏导管检查显示SCAD,并通过体外循环冠状动脉搭桥术治疗。

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