Coronary Angioplasty with Stent in Woman with Active Vaginal Bleeding

Abstract Uterine leiomyoma and coronary artery disease are two common diseases in women. However, the association of uterine bleeding caused by leiomyoma with unstable coronary syndrome is not frequent. Here we describe a case of a patient with active vaginal bleeding and unstable angina who underwent a unique approach by performing percutaneous procedures. The report demonstrates that new interventional options can be used to control active bleeding in patients in need of coronary angioplasty.

摘要：子宫平滑肌瘤（Uterine leiomyoma）与冠状动脉疾病（coronary artery disease）均为女性群体中的常见疾病。然而，平滑肌瘤所致子宫出血与不稳定冠状动脉综合征之间的关联并不多见。本文报告1例同时存在活动性阴道出血与不稳定型心绞痛的患者，为其实施经皮操作的独特诊疗方案。本案例表明，对于需行冠状动脉成形术的患者，可采用新型介入治疗手段控制其活动性出血。