Coronary heart disease with pulmonary embolism: A case report  

作　　者：Jun-Qing Xu Meng-Xin Jiang Feng Wang Kai-Qiang Yang Ying-Jiang Xu Yu-Jiu Wang Sheng-Jun Dong 

机构地区：[1]Department of Cardiovascular Surgery,Binzhou Medical University Hospital,Binzhou 256600,Shandong Province,China [2]Department of Interventional Vascular Surgery,Binzhou Medical University Hospital,Binzhou 256600,Shandong Province,China

出　　处：《World Journal of Cardiology》2025年第2期111-117,共7页世界心脏病学杂志(英文)

基　　金：Supported by the National Natural Science Foundation of China,No.82200981;Natural Science Foundation of Shandong Province,No.ZR2022QH358;and Special Funds of Taishan Scholars Project of Shandong Province,No.tsqn202312384.

摘　　要：BACKGROUND Coronary heart disease(CHD)and pulmonary embolism(PE)are thrombotic diseases.Patients with CHD and PE are common in clinical practice.However,the clinical diagnosis of PE is challenging due to overlapping primary symptoms,such as chest tightness and dyspnea.This confluence frequently leads to the misdiagnosis of PE,thus precipitating treatment delays and compromising patient outcomes.Herein,we report the case of a patient with both diseases who under-went surgery and medication therapy.CASE SUMMARY A 51-year-old man with a history of hypertension for 2 years visited a local hospital because of paroxysmal chest tightness for 1 d and was diagnosed with CHD.However,he refused hospitalization.He visited our hospital for the treatment of recurring symptoms.A comprehensive examination after admission revealed elevated D-dimer levels,and computed tomography pulmonary angio-graphy was performed to confirm the diagnosis of PE.The patient successfully underwent coronary artery bypass grafting with anticoagulant and antiplatelet drugs and had a prognosis.CONCLUSION D-dimer is useful in screening for PE,whereas computed tomography pulmonary angiography is important for diagnosis.For patients with CHD and PE,coronary artery bypass grafting combined with anticoagulant and antiplatelet therapy is feasible.

关 键 词：Coronary heart disease Pulmonary embolism Coronary artery bypass grafting THROMBOSIS D-DIMER Case report 

分 类 号：R541.4[医药卫生—心血管疾病]