Management of Patients with Vascular Ehlers-Danlos Syndrome and Acute Coronary Syndrome: a Case Report.

IF 0.5 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS ARYA Atherosclerosis Pub Date : 2023-01-01 DOI:10.48305/arya.2022.11722.2343
Ilenia Alessandra Di Liberto, Gerlando Pilato, Giuseppe Caramanno
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Abstract

Background: Ehlers-Danlos syndrome (EDS) is a hereditary collagen vascular disorder characterized by joint hypermobility, skin hyperextensibility, and tissue fragility. Vascular EDS (vEDS) is a subtype of EDS which is characterized by vascular fragility.

Case presentation: This is a case report of a young man with vEDS hospitalized for myocardial infarction. He was presented with a coronary dissection and developed aortic dissection, coronary rupture, and cardiac tamponade until death.

Conclusion: This case report highlights how patients with vEDS and acute coronary syndrome show a higher risk of vascular complications compared with other patients, and their admission to the institution with a cardiac surgery room could be helpful and safe for better management of the complications. Non-invasive methods could be useful to exclude other vascular diseases, before the emergency coronary intervention.

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血管性 Ehlers-Danlos 综合征和急性冠状动脉综合征患者的管理:病例报告。
背景:埃勒斯-丹洛斯综合征(EDS)是一种遗传性胶原血管疾病,以关节过度活动、皮肤过度伸展和组织脆性为特征。血管性 EDS(vEDS)是 EDS 的一种亚型,以血管脆性为特征:本病例报告的是一名因心肌梗死住院的年轻男性血管性 EDS 患者。他因冠状动脉夹层就诊,随后发展为主动脉夹层、冠状动脉破裂和心脏填塞,直至死亡:本病例报告强调了vEDS和急性冠状动脉综合征患者与其他患者相比,发生血管并发症的风险更高。在进行紧急冠状动脉介入治疗之前,非侵入性方法有助于排除其他血管疾病。
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来源期刊
ARYA Atherosclerosis
ARYA Atherosclerosis CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
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审稿时长
18 weeks
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