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首页> 外文期刊>Journal of cardiology >Coronary ectasia resulting in thrombotic coronary occlusion after warfarin interruption: a case report
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Coronary ectasia resulting in thrombotic coronary occlusion after warfarin interruption: a case report

机译：华法林中断后导致冠状动脉扩张导致血栓性冠状动脉闭塞：一例报告

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摘要

A 68-year-old man taking aspirin and warfarin for ectatic right coronary artery complained of chest pain and was admitted to our hospital with acute myocardial infarction. He had discontinued taking warfarin due to nail bleeding for a month. Coronary angiography revealed total occlusion at segment 3 of the ectatic right coronary artery with massive thrombus. Because of unsuccessful reperfusion by an aspiration device, a 5F straight catheter was inserted into the ectatic right coronary artery to aspirate the massive thrombus, and Thrombolysis in Myocardial Infarction grade 3 flow reperfusion was obtained. Intravascular ultrasonography showed moyamoya abnormal coronary flow pattern, but there was no evidence of unstable plaque. Warfarization should be considered to treat ectatic coronary artery.
机译：一名因阿司匹林和华法林用于直肠右冠状动脉的68岁男子主诉胸痛，并因急性心肌梗塞入我院。由于指甲出血，他已停止服用华法林一个月。冠状动脉造影显示直肠右冠状动脉第3段完全闭塞，并伴有大量血栓。由于通过抽吸装置未成功进行再灌注，因此将5F直导管插入右冠状动脉直肠以抽吸大量血栓，并获得了3级心肌梗死血流再灌注。血管内超声检查显示烟雾病冠状动脉血流异常，但没有斑块不稳定的迹象。应考虑使用华法治疗直肠冠状动脉。

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