Cardiac Denervation Procedure To Treat Refractory Angina In A Patient With Churg-Strauss Syndrome And Non-Obstructive Coronary Lesions
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY(2012)
摘要
Cardiac involvement in Churg-Strauss syndrome is common and represents the main cause of mortality. We report the case of a patient with Churg-Strauss vasculitis, mitral regurgitation with left ventricular dysfunction, paroxysmal atrial fibrillation and refractory angina with non-significant coronary lesions. Cardiac denervation was proposed as an associated procedure to treat angina. The total removal of peri-adventitial and adventitial tissue around the superior vena cava, ascending aorta and main pulmonary trunk was performed. After 3 months of follow-up, the patient was angina-free and could resume his normal lifestyle.
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关键词
Angina, Autonomic nervous system
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