经皮冠状动脉介入术治疗外科二尖瓣和主动脉瓣瓣膜置换术后左主干完全闭塞1例  

Percutaneous coronary intervention in the treatment of chronic total occlusion of the left main trunk after mitral and aortic valve surgical replacement:a case report

作　　者：高好考 贾慧丰 李成祥 GAO Haokao;JIA Huifeng;LI Chengxiang(Department of Cardiology,Xijing Hospital,Air Force Medical University,Xi'an,710032,China;Department of Intervention, Dali County Hospital)

机构地区：[1]空军军医大学西京医院心脏内科,西安710032 [2]陕西省大荔县县医院介入科

出　　处：《临床心血管病杂志》2023年第11期898-900,共3页Journal of Clinical Cardiology

摘　　要：外科主动脉瓣置换术后的冠状动脉(冠脉)狭窄是一种罕见但危及生命的并发症,临床症状通常很严重,大多出现在术后1~6个月。本文报道1例外科主动脉和二尖瓣置换术3年后发现冠脉左主干慢性完全闭塞病例,患者接受经皮冠脉介入术植入药物洗脱支架成功治疗。Coronary artery stenosis after surgical aortic valve replacement(AVR) is a rare but life-threatening complication,and clinical symptoms are usually severe,mostly appearing about 1-6 months after surgery.We reported a case of chronic total occlusion of the left main coronary artery after surgical aortic and mitral valve replacement up to 3 years,which was successfully treated by percutaneous coronary intervention implantation of drug-eluting stents.As far as we knew,this was the most serious lesion and management of the left main coronary artery after surgical AVR was reported in China.

关 键 词：外科主动脉瓣置换术 慢性完全闭塞 经皮冠状动脉介入术 

分 类 号：R654.3[医药卫生—外科学]