Yeo C K, Khalid Y
Department of Medicine, Faculty of Medicine, Hospital Universiti Kebangsaan Malaysia, Jalan Tenteram, Kuala Lumpur.
Med J Malaysia. 1999 Mar;54(1):114-6.
A 52 year old hypertensive Malay man, a smoker who presented with a one month history of mild chest discomfort not related to exertion and had a positive stress test with ST segment depression in the lateral leads. Coronary angiography showed stenosis in the right coronary artery and a coronary aneurysm in the proximal segment of his left anterior descending. The aneurysm was situated just distal to a stenotic lesion. The aneurysm is most likely related to atherosclerotic coronary artery disease. The patient was treated with oral nitrates, aspirin, angiotensin converting enzyme inhibitor and warfarin to prevent thromboembolism related to the coronary aneurysm. He remains asymptomatic one year after diagnosis.
一名52岁的马来族高血压男性，有吸烟史，出现轻度胸部不适1个月，与劳累无关，负荷试验显示侧壁导联ST段压低阳性。冠状动脉造影显示右冠状动脉狭窄，左前降支近端有一个冠状动脉瘤。该动脉瘤位于狭窄病变的远端。这个动脉瘤很可能与动脉粥样硬化性冠状动脉疾病有关。患者接受口服硝酸盐、阿司匹林、血管紧张素转换酶抑制剂和华法林治疗，以预防与冠状动脉瘤相关的血栓栓塞。诊断后一年他仍无症状。
