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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Coronary stenting after failure of conservative treatment for spontaneous coronary dissection: Usefulness of the intravascular ultrasound.
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Coronary stenting after failure of conservative treatment for spontaneous coronary dissection: Usefulness of the intravascular ultrasound.

机译：自发性冠状动脉夹层的保守治疗失败后进行冠状动脉支架置入术：血管内超声检查的实用性。

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摘要

Spontaneous coronary dissection of a coronary artery is a rare cause of acute coronary syndrome. Optimal treatment has not yet been established. We describe a woman with spontaneous dissection of the left anterior descending artery who presented transitory angina and electrocardiographic ST segment elevation in precordial leads. Conservative treatment was carried out. The angina and electrocardiographic changes recurred 3 days later. An intravascular vascular ultrasound was performed and the patient was stabilized following stenting. Stress testing was negative at 6-month follow-up and she remained asymptomatic at 18 months. We discuss the usefulness of an intravascular ultrasound study to establish the therapeutic strategy.
机译：冠状动脉的自发性冠状动脉夹层是急性冠状动脉综合征的罕见原因。尚未确定最佳治疗方法。我们描述了左前降支动脉自发性解剖的一名妇女，在短暂性心绞痛和心电图导联心电图ST段抬高中表现出来。进行了保守治疗。 3天后再次出现心绞痛和心电图改变。进行血管内血管超声检查，并在支架置入术后使患者稳定。在6个月的随访中压力测试为阴性，在18个月时她仍无症状。我们讨论了血管内超声研究建立治疗策略的有用性。

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