Acute Myocardial Infarction Caused by Spontaneous Coronary Artery Dissection of the First Septal Perforator.

Acute Myocardial Infarction Caused by Spontaneous Coronary Artery Dissection of the First Septal Perforator.
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DOI:
10.1016/j.jaccas.2023.101833
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发表时间:
2023-05-17
期刊:
JACC. Case reports
影响因子:
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通讯作者:
Tweet, Marysia S
Tweet, Marysia S
中科院分区:
其他
文献类型:
--
作者:
Rezkalla, Joshua A;Lathiya, Maulik K;Araoz, Philip A;Singh, Gurpreet;Tweet, Marysia S

文献摘要

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摘要自发性冠状动脉中隔动脉剥离是一种罕见的疾病,在冠状动脉造影时容易被忽略。此外,由于动脉尺寸,专用冠状动脉内成像可能不可行。心脏磁共振成像在诊断中具有新兴的作用,这是至关重要的,因为如果诊断出自发性冠状动脉夹层,治疗会发生重大变化。(难度:初级。)
Spontaneous coronary artery dissection of the septal arteries is rare and may be overlooked on coronary angiogram. Additionally, dedicated intracoronary imaging may not be feasible due to artery size. Cardiac magnetic resonance imaging has an emerging role in diagnosis, which is critical because management changes significantly if spontaneous coronary artery dissection is diagnosed. (Level of Difficulty: Beginner.)