Sudden Thrombosis in Coronary Artery Bypass Grafting Surgery  

作　　者：Bin Cheng Jun-Sheng Mu Jian-Qun Zhang Ping Bo 

机构地区：[1]Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing 100029, China

出　　处：《Chinese Medical Journal》2015年第20期2835-2836,共2页中华医学杂志（英文版）

摘　　要：To the Editor： A 47-year-old male of chest discomfort for 2 weeks patient was admitted because He had no obvious incentive precordial discomtfort 2 weeks ago, accompanied by palpitation. He immediately went to the town hospital. Electrocardiogram （ECG） showed myocardial infarction. Coronary angiography showed coronary artery disease accompanied by a ventricular aneurysm. The patient was transferred to Beijing Anzhen Hospital. ECG showed sinus rhythm, heart axis deviation ＋ 111 °, anterior septal, anterior lateral, anterior myocardial infarction, and complete right bundle branch block. Chest X-ray showed no obvious abnormalities in heart and lung. Ecbocardiography showed abnormal motion of segmental ventricular wall; formation of a ventricular aneurysm in apex area of the heart, the diameter of the ventricular aneurysm was 2 cm, the diastolic function of left ventricular was reduced. Coronary angiography showed left anterior descending artery filling slowly and its intima was not smooth; the stenosis rate was 90%. The stenosis rate of the circumflex artery was 90% [Figure la and b]. He was diagnosed with acute anterior myocardial infarction, left ventricular aneurysm, and hypertension.To the Editor： A 47-year-old male of chest discomfort for 2 weeks patient was admitted because He had no obvious incentive precordial discomtfort 2 weeks ago, accompanied by palpitation. He immediately went to the town hospital. Electrocardiogram （ECG） showed myocardial infarction. Coronary angiography showed coronary artery disease accompanied by a ventricular aneurysm. The patient was transferred to Beijing Anzhen Hospital. ECG showed sinus rhythm, heart axis deviation ＋ 111 °, anterior septal, anterior lateral, anterior myocardial infarction, and complete right bundle branch block. Chest X-ray showed no obvious abnormalities in heart and lung. Ecbocardiography showed abnormal motion of segmental ventricular wall; formation of a ventricular aneurysm in apex area of the heart, the diameter of the ventricular aneurysm was 2 cm, the diastolic function of left ventricular was reduced. Coronary angiography showed left anterior descending artery filling slowly and its intima was not smooth; the stenosis rate was 90%. The stenosis rate of the circumflex artery was 90% [Figure la and b]. He was diagnosed with acute anterior myocardial infarction, left ventricular aneurysm, and hypertension.

分 类 号：Q51[生物学—生物化学] Q592.1