UNI-MB - logo
UMNIK - logo
 
Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Uspešno zdravljenje disekcije aorte tipa A z rekonstrukcijo aortne zaklopke po Tirone-Davidu pri bolniku z dvotirno antiagregacijsko zaščito : prikaz primera = Successful treatment of aortic dissection type A with reconstruction of aorticvalve according to Tirone-David in patient who received two-tier antiplatelet therapy : case report
    Klokočovnik, Tomislav ; Kržišnik-Zorman, Simona ; Weiss, Miha
    The most efficient way of myocardial reperfusion in patients with ST-elevationmyocardial infarction (STEMI) is percutaneous coronary intervention (PCI), where is in most cases necessary to stent the ... affected coronary artery. The guidelines dictates treatment with aspirin and clopidogrel for all patients prior to procedure for prevention of early stent thrombosis. Clinical features of acute myocardial infarction and electrocardiographic changes can also be seen in other emergency states, one of them is acute dissection of ascending aorta (type A). Treatment of this is always operative, most commonly mechanical aortic valve on vascular graft is inserted (Bentall operation), but is also possible to perform a native aortic valve-sparing operation (Tirone - David operation). A case of patient with acute type A dissection is presented, who because of the biased suspicion thathe had STEMI, received a two-tier antiaggregate treatment preoperatively, which strongly complicated the course of treatment. Tirone - David procedure was performed, for this reason there was no need to initiate anticoagulant treatment. Despite the patient has survived, we suggest that clopidogrel should be administered only when clinical presentation and electrocardiographic changes are typical for STEMI and not till consultation about performing primary PCI with the specialist in the intervention centre.
    Vir: Slovenska kardiologija : znanstveno strokovna revija za področje srčno-žilne medicine. - ISSN 1581-8543 (Letn. 3, št. 1, 2007, str. 38-41)
    Vrsta gradiva - članek, sestavni del
    Leto - 2007
    Jezik - slovenski
    COBISS.SI-ID - 23103705

Vnos na polico