多学科联合诊疗左冠状动脉起源异常致急性心肌梗死并心源性休克1例  

Multidisciplinary diagnosis and treatment of acute myocardial infarction with cardiogenic shock caused by anomalous aortic origin of a coronary artery:a case report

作　　者：邓毅凡 刘娟 朱米雪 方震 纪军 何胜虎 张晶 Deng Yifan;Liu Juan;Zhu Mixue;Fang Zhen;Ji Jun;He Shenghu;Zhang Jing(Department of Cardiology,Clinical Medical College,Yangzhou University&Northern Jiangsu People's Hospital of Jiangsu Province,Yangzhou 225001,China;Yangzhou School of Clinical Medicine of Dalian Medical University,Yangzhou 225001,China)

机构地区：[1]扬州大学临床医学院,江苏省苏北人民医院心内科,扬州225001 [2]大连医科大学扬州临床学院,扬州225001

出　　处：《中国综合临床》2022年第4期361-365,共5页Clinical Medicine of China

基　　金：江苏省研究生科研与实践创新计划项目(SJCX21-1647)。

摘　　要：冠状动脉起源异常是一种罕见的冠状动脉发育异常疾病,在冠状动脉无明显狭窄的情况下影响心肌血流灌注,该类患者猝死风险较高,且病情进展迅速,临床表现易与心肌疾病相混淆。我们报道1例13岁青年患者通过心脏内科、心脏外科、ICU、影像科多学科联合,明确患者诊断,早期稳定病情,最终通过冠状动脉去顶术,矫正了异常冠状动脉结构。现着重探讨分析该类患者的诊断方法以及相关治疗进展。Anomalous aortic origin of a coronary artery is a rare abnormal coronary artery development disease,which affects myocardial blood perfusion in the absence of significant coronary artery stenosis.Such patients have a high risk of sudden death,and their disease progresses rapidly,and their clinical manifestations are easily confused with myocardial diseases.We report a case of a 13-year-old young patient whose diagnosis was confirmed,the condition was stabilized at an early stage,and the abnormal coronary structure was corrected by coronary decapitation through a multidisciplinary combination of cardiology,cardiac surgery,ICU,and imaging.This article focuses on the diagnosis and treatment of these patients.

关 键 词：急性心肌梗死 多学科 冠状动脉起源异常 

分 类 号：R542.22[医药卫生—心血管疾病] R541.64[医药卫生—内科学]