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首页> 外文期刊>Journal of International Medical Research >Iatrogenic aortic dissection during percutaneous coronary intervention: A case report and review of the literature
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Iatrogenic aortic dissection during percutaneous coronary intervention: A case report and review of the literature

机译：经皮冠状动脉介入治疗中的医源性主动脉夹层：一例病例报告并文献复习

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A 64-year-old female complaining of unrelieved chest pain for 2 days was admitted to the Emergency Room of the Beijing Anzhen Hospital, Beijing, China. After definitive diagnosis, a percutaneous coronary intervention was implemented, but immediately after embedding the stent in the distal area of the right coronary artery, an acute coronary and aortic dissection was found. Cardiologists immediately gave the patient conservative management. At the same time, another smaller stent was immediately embedded in the proximal area of the right coronary artery and plunged into the ascending aorta by 2?mm, with the intention of covering the tear of the dissection. Repeated coronary angiography showed that a 40% stricture of the distal right coronary artery remained and less contrast agent had been extravasated. The patient was then transferred to the Department of Cardiac Surgery and received emergency surgery consisting of right coronary artery bypass grafting and ascending aorta replacement. The patient remained in the intensive care unit for 18 days after the surgery. The patient recovery was acceptable and she was discharged with a small amount of bilateral hydrothorax, moderate malnutrition oedema and iron deficiency anaemia.
机译：一名64岁的女性因胸痛缓解了2天而被送进中国北京安贞医院急诊室。明确诊断后，实施了经皮冠状动脉介入治疗，但将支架嵌入右冠状动脉远端区域后，立即发现了急性冠状动脉和主动脉夹层。心脏科医生立即给予患者保守治疗。同时，另一个较小的支架立即埋入右冠状动脉的近端区域，并以2？mm的深度插入升主动脉，以覆盖剥离的泪液。重复冠状动脉造影显示，右冠状动脉远端仍留有40％的狭窄，而造影剂的渗出较少。该患者随后被转移至心脏外科，并接受了包括右冠状动脉搭桥术和升主动脉置换术在内的紧急手术。手术后，患者在重症监护室停留了18天。患者的恢复是可以接受的，并且她出院时伴有少量双侧胸膜积水，中度营养不良水肿和缺铁性贫血。

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