Acute thrombotic occlusion of Non-dominant right coronary artery presenting as acute coronary syndrome and hemodynamic instability

Gurkirat Singh, H. Khemani, S. Shaikh, V. Deshmukh, Rahul Singla, N. Bansal
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引用次数: 1

Abstract

It is generally believed that the occlusion of a non-dominant right coronary artery is not associated with significant consequences. Atherosclerotic disease of non-dominant right coronary in the absence of significant left coronary artery disease is rare, and the prevalence is substantially lower as compared to dominant right coronary artery. We report a case of young male presenting with acute coronary syndrome and hemodynamically significant atrial fibrillation. Coronary angiography showed thrombotic occlusion of non dominant right coronary artery. After the stenting of this artery, patient improved hemodynamically with complte resolution of ECG changes.
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非显性右冠状动脉急性血栓闭塞,表现为急性冠状动脉综合征和血流动力学不稳定
一般认为,非优势右冠状动脉闭塞与显著后果无关。在没有明显左冠状动脉病变的情况下,非优势右冠状动脉粥样硬化性疾病是罕见的,其患病率明显低于优势右冠状动脉。我们报告一例年轻男性表现为急性冠状动脉综合征和血流动力学显著心房颤动。冠状动脉造影显示非优势右冠状动脉血栓闭塞。该动脉支架置入术后,患者血流动力学得到改善,心电图改变完全消除。
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