一名年轻成年人的冠状动脉瘤：一例猝死病例。是川崎病的晚期后遗症吗？
Coronary artery aneurysms in a young adult: a case of sudden death. A late sequelae of Kawasaki disease?
作者信息
Fineschi V, Paglicci Reattelli L, Baroldi G
机构信息
Department of Forensic Sciences, University of Siena, Policlinico Le Scotte, Italy.
出版信息
Int J Legal Med. 1999;112(2):120-3. doi: 10.1007/s004140050213.
The case concerns the sudden death of a 21-year-old male during a soccer game. The autopsy revealed large, calcified saccular aneurysms at the origins of both the left anterior descending and the right coronary arteries. Histologically, the wall of the aneurysms was thin and composed of an internal fibro-calcified layer and an external thin tunica media. There was no evidence of active inflammation. The autopsy findings and a detailed medical history support the diagnosis of a late fatal sequela of Kawasaki disease.
该病例涉及一名21岁男性在足球比赛期间突然死亡。尸检显示左前降支和右冠状动脉起始处有巨大的、钙化的囊状动脉瘤。组织学检查发现，动脉瘤壁薄，由内部纤维钙化层和外部薄的中膜组成。没有活动性炎症的证据。尸检结果和详细的病史支持川崎病晚期致命后遗症的诊断。
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