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Implantation of a Coronary Sinus Reducer to Treat Refractory Angina in a 38-Year-Old with an Anomalous Left Coronary Artery and No Revascularization Options

机译:植入冠状动脉窦减速剂以治疗难治性心绞痛,38岁,具有异常左冠状动脉,无血运重建选项

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摘要

A 38-year-old female with anomalous left coronary artery from the pulmonary artery presented with refractory angina (Canadian Cardiovascular Society [CCS] class 4). Having failed two previous internal mammary artery grafts to the left anterior descending artery and with no percutaneous revascularization options, she underwent coronary sinus reducer implantation, which improved her symptoms (CCS 0), quality of life, and corresponded to an improvement in ischemia on myocardial perfusion scanning. This case report describes an unusual case of refractory angina in the context of congenital heart disease, illustrates the benefit of this novel hourglass-shaped stent in improving ischemia, quality of life, depression and anxiety, and highlights the importance of managing these patients in multidisciplinary teams.
机译:一名38岁的女性,患有难治性心绞痛的肺动脉的异常左冠状动脉(加拿大心血管社会[CCS] 4级)。 在左前期下降动脉和没有经皮血运重建选项中失败了两种先前的内部乳腺动脉移植物,她接受了冠状动脉窦减速剂植入,这改善了她的症状(CCS 0),生活质量,并且对应于心肌缺血的改善 灌注扫描。 本案例报告描述了在先天性心脏病的背景下的难治性心绞痛的一种不寻常的情况,说明了这种新颖的沙漏形支架改善缺血,生活质量,抑郁和焦虑,并强调了管理这些患者在多学科的重要性 团队。

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