Spontaneous Coronary Artery Dissection Complicated by Left Ventricular Free Wall Rupture in Turner Syndrome.

特纳综合征自发性冠状动脉夹层并发左心室游离壁破裂。

• 发表时间: Feb 2023 15
• 来源期刊: JACC Case Rep
• DOI: 10.1016/j.jaccas.2022.09.021
• PMID: 36860562
• 文章类型: Case Reports
• 作者列表: Caprio BF,Kotkar K,Zajarias A,Braverman AC

关键词: ACS, acute coronary syndrome; CT, computed tomography; DAPT, dual antiplatelet therapy; DKA, diabetic ketoacidosis; ECG, electrocardiogram; LVFWR, left ventricular free wall rupture; PCI, percutaneous coronary intervention; PEA, pulseless electrical activity; SCAD, spontaneous coronary artery dissection; TS, Turner syndrome; acute coronary syndrome; cardiovascular disease; myocardial infarction

Abstract

A 38-year-old with Turner syndrome presented with acute myocardial infarction due to multivessel spontaneous coronary artery dissection (SCAD) complicated by left ventricular free wall rupture. Conservative management for SCAD was pursued. She underwent sutureless repair for an oozing-type left ventricular free wall rupture. SCAD has not been previously reported in Turner syndrome. (Level of Difficulty: Advanced.).

摘要

38岁的特纳综合征患者因多支血管自发性冠状动脉夹层（SCAD）并发左心室游离壁破裂而出现急性心肌梗死。对SCAD实行保守管理。她因渗出型左心室游离壁破裂而接受了无缝合修复。以前没有在特纳综合征中报道过SCAD。（难度等级：高级。).