Sinus dysfunction after stent implantation in the right coronary artery immediately recovered after reflow in the sinus node artery

被引：7

作者：

Haraki T. ^{[1
]}

Hirase H. ^{[1
]}

Hoda S. ^{[1
]}

Hashimoto M. ^{[1
]}

Higashi M. ^{[1
]}

机构：

[1] Department of Cardiology, Takaoka Municipal Hospital, Takaoka, 933-8550

来源：

Cardiovascular Intervention and Therapeutics | 2014年 / 29卷 / 2期

关键词：

PCI; Right coronary artery; Sinus dysfunction; Sinus node artery; Syncope;

D O I：

10.1007/s12928-013-0208-6

中图分类号：

学科分类号：

摘要：

A 67-year-old man who had a history of syncope was admitted because of effort angina. The sinus node (SN) was the single blood supply from the right coronary artery (RCA). After we implanted 2 everolimus-eluting stents for RCA, slow-flow occurred and the SN artery was occluded, and junctional escape rhythm was sustained. After the wiring to the occluded SN artery, junctional escape rhythm immediately recovered to sinus rhythm, and the patient achieved continuous sinus rhythm and stable hemodynamics. Given that acute SN ischemia is a possible cause of sinus dysfunction, careful choice of a percutaneous coronary intervention strategy should be taken into consideration if the SN artery is the single blood supply from the RCA and if syncopal history is present. © 2013 Japanese Association of Cardiovascular Intervention and Therapeutics.

引用

页码：173 / 176

页数：3

共 16 条

[1]

Rubenstein J.J., Schulman C.L., Yurchak P.M., DeSanctis R.W., Clinical spectrum of the sick sinus syndrome, Circulation, 46, pp. 5-13, (1972)

[2]

Kotoku M., Tamura A., Naono S., Kadota J., Sinus arrest caused by occlusion of the sinus node artery during percutaneous coronary intervention for lesions of the proximal right coronary artery, Heart Vessels, 22, pp. 389-392, (2007)

[3]

Ando A., Gaspardone A., Proietti I., Acute thrombosis of the sinus node artery: arrhythmological implications, Heart, 89, (2003)

[4]

Deeprasertkul P., Thakur R.K., Sinus arrest following right coronary artery stent implantation, Int Arch Med, 5, (2012)

[5]

Kyriakidis M.K., Kourouklis C.B., Papaioannou J.T., Christakos S.G., Spanos G.P., Avgoustakis D.G., Sinus node coronary arteries studied with angiography, Am J Cardiol, 51, pp. 749-750, (1983)

[6]

Shaw D.B., Linker N.J., Heaver P.A., Evans R., Chronic sinoatrial disorder (sick sinus syndrome): a possible result of cardiac ischemia, Br Heart J, 58, pp. 598-607, (1987)

[7]

Hsueh C.W., Lee W.L., Chen Y.T., Ting C.T., The incidence of coronary artery disease in patients with symptomatic bradyarrhythmias, Jpn Heart J, 42, pp. 417-423, (2001)

[8]

Jordan J., Yamaguchi I., Mandel W.J., Characteristics of sinoatrial conduction in patients with coronary artery disease, Circulation, 55, pp. 569-574, (1977)

[9]

Alboni P., Baggioni G.F., Scarfo S., Cappato R., Percoco G.F., Paparella N., Et al., Role of sinus node artery disease in sick sinus syndrome in inferior wall acute myocardial infarction, Am J Cardiol, 67, pp. 1180-1184, (1991)

[10]

Serrano Jr. C.V., Bortolotto L.A., Cesar L.A., Solimene M.C., Mansur A.P., Nicolau J.C., Et al., Sinus bradycardia as a predictor of right coronary artery occlusion in patients with inferior myocardial infarction, Int J Cardiol, 68, pp. 75-82, (1999)

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