首页|青少年川崎病合并冠状动脉3支病变1例

青少年川崎病合并冠状动脉3支病变1例

One case report on Adolescent Kawasaki disease combined with a triple branch coronary artery lesion

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本文报道1例16岁的青少年患者,川崎病史6年,不规律口服阿司匹林抗血小板治疗,未规律复诊.在患川崎病后6年因胸痛症状入院,入院后冠状动脉造影提示冠状动脉3支病变、前降支开口闭塞、回旋支近段狭窄50%、右冠状动脉近段以远完全闭塞.给予冠状动脉旁路移植术治疗后,患者胸痛缓解.本文针对川崎病引起的冠状动脉病变情况及其治疗进行分析.
This paper reports a 16-year-old adolescent patient with a history of Kawasaki for 6 years who was treated with irregular antiplatelet therapy(oral aspirin)without regular follow-up visits.He was admitted to hos-pital due to chest pain after Kawasaki disease six years.Coronary angiography revealed lesions in three branches of the coronary artery,complete occlusion of the anterior descending branch,50%stenosis of the proximal circumfl-exal branch,and complete occlusion of the proximal right coronary artery.After coronary artery bypass grafting,the patient's chest pain was relieved.

Kawasaki diseasecoronary artery aneurysmcoronary artery bypass grafting

李晗、况春燕

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贵州医科大学附属人民医院心内科(贵阳,550002)

贵州省人民医院心内科

川崎病 冠状动脉瘤 冠状动脉旁路移植术

贵州省优秀青年科技人才项目(第十二批)贵州省科技计划项目

黔科合平台人才[2019]5662黔科合基础[2018]1097

2024

临床心血管病杂志
华中科技大学心血管病研究所 华中科技大学协和医院

临床心血管病杂志

CSTPCD
影响因子:0.653
ISSN:1001-1439
年,卷(期):2024.40(2)
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