主动脉夹层术后冠状隐静脉移植物扭结:心脏填塞的一种不寻常的鉴别诊断

K. Rathore, M. Teh, M. Newman
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引用次数: 0

摘要

一位73岁的女性患者在斯坦福A型主动脉夹层后出现心脏填塞,需要立即进行心包穿刺,随后进行冠状动脉旁路移植术。患者的术后过程是不稳定的,冠状动脉移植物扭结导致心肌缺血,但表现与心脏填塞混淆。
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Kinked coronary saphenous vein graft after aortic dissection surgery: An unusual differential diagnosis of cardiac tamponade
A 73-year-old female patient presented with cardiac tamponade following Stanford type A aortic dissection required immediate pericardiocentesis and followed by root replacement with coronary artery bypass grafting. The patient's postoperative course was eventful and coronary graft kinking contributed to myocardial ischemia, but the presentation was confused with cardiac tamponade.
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