A lotus root-like appearance in both the left anterior descending and right coronary arteries
A lotus root-like appearance in both the left anterior descending and right coronary arteries
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DOI：
10.1007/s00380-014-0567-7
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发表时间：
2016-01-01
影响因子：
1.5
通讯作者：
Nakao, Koichi
中科院分区：
文献类型：
--
作者：
Kadowaki, Hiromu;Taguchi, Eiji;Nakao, Koichi
一名六十岁男子因用力时呼吸困难而转诊至我院。由于陈旧性心肌梗塞，他被诊断为心力衰竭。心肌应激灌注显像显示诱导性心肌缺血。冠状动脉造影显示左前降支（LAD）和右冠状动脉（RCA）均有模糊的狭缝病变。我们首先对LAD病变行经皮冠状动脉介入治疗（PCI）。随后，我们使用多种成像方式对RCA病变进行PCI治疗。我们观察到LAD和RCA均呈莲藕样外观，两根血管PCI均成功。我们详细描述这个罕见的案例。
A 60-year-old man was referred to our hospital because of dyspnea on exertion. He was diagnosed with heart failure due to an old myocardial infarction. Myocardial stress perfusion scintigraphy revealed inducible myocardial ischemia. Coronary angiography revealed hazy slit lesions in both the left anterior descending (LAD) and right coronary arteries (RCA). We first performed percutaneous coronary intervention (PCI) on the LAD lesion. Subsequently, we performed PCI for the RCA lesion using multiple imaging modalities. We observed a lotus root-like appearance in both the LAD and RCA, and PCI was successful for both vessels. We describe this rare case in detail.