典型文献
A Rare and Lethal Ostial Left Main Trunk Lesion: A Case Report
文献摘要：
Coronary artery involvement in cardiovascular syphilis is infrequent and often overlooked, especially in patients with latent syphilis. Herein, we present the case of myocardial infarction largely related to cardiovascular syphilis in a 63-year-old man. Invasive coronary angiography and contrast-enhanced computed tomography scan revealed a critical ostial narrowing of the left main trunk, an occlusive right coronary artery, and moderate-to-severe ostial stenosis of multiple major branches of the abdominal aorta. Syphilis screening and confirmatory tests were positive. Cardiovascular syphilis was considered. Percutaneous coronary intervention (PCI) was performed uneventfully, and a coronary stent was implanted in the ostium of the left main coronary artery. However, on day 3 after PCI, the patient died suddenly, likely because of stent thrombosis. In conclusion, severe coronary lesions confined to the ostia suggest rheumatologic large-vessel vasculitis or infectious aortitis.
文献关键词：
Aortitis;Syphilis;Coronary artery disease;Case report
中图分类号：
作者姓名：
Huang Baotao;Zhang Ran;Li Chen
作者机构：
Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China;Department of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
文献出处：
引用格式：
[1]Huang Baotao;Zhang Ran;Li Chen-.A Rare and Lethal Ostial Left Main Trunk Lesion: A Case Report)[J].心血管病探索（英文）,2022(01):58-61
A类：
Ostial,uneventfully,ostia,rheumatologic,aortitis,Aortitis
B类：
Rare,Lethal,Left,Main,Trunk,Lesion,Case,Report,Coronary,artery,involvement,cardiovascular,syphilis,infrequent,often,overlooked,especially,patients,latent,Herein,present,case,myocardial,infarction,largely,related,year,old,man,Invasive,coronary,angiography,contrast,enhanced,computed,tomography,scan,revealed,critical,ostial,narrowing,left,main,trunk,occlusive,right,moderate,severe,stenosis,multiple,major,branches,abdominal,aorta,Syphilis,screening,confirmatory,tests,were,positive,Cardiovascular,was,considered,Percutaneous,intervention,PCI,performed,stent,implanted,ostium,However,day,after,died,suddenly,likely,because,thrombosis,conclusion,lesions,confined,suggest,vessel,vasculitis,infectious,disease,report
AB值：
0.635367
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机标中图分类号，由域田数据科技根据网络公开资料自动分析生成，仅供学习研究参考。
