Erdöl C, Celik S, Baykan M, Gökçe M, Karahan B, Bayram A
Department of Cardiology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.
J Cardiovasc Surg (Torino). 2001 Feb;42(1):65-7.
Coronary artery aneurysm (CAA) is a relatively rare disease that may cause angina, myocardial infarction, sudden death due to thrombosis, embolisation, or rupture. This report describes the case of a man aged 65 years old who had an anterior myocardial infarction due to left anterior descending artery (LAD) aneurysm. We attempted early percutaneous transluminal coronary angioplasty (PTCA) for treatment of acute myocardial infarction, but were not successful. He was then treated with intracoronary streptokinase. Serial coronary angiographies showed recanalisation and aneurysm on the LAD. The patient was operated on with coronary bypass surgery, and treated with an oral anticoagulant, nitrate, and blocker. He was well after one year of follow-up.
冠状动脉瘤（CAA）是一种相对罕见的疾病，可能导致心绞痛、心肌梗死、因血栓形成、栓塞或破裂而猝死。本报告描述了一名65岁男性因左前降支（LAD）动脉瘤导致前壁心肌梗死的病例。我们尝试早期经皮腔内冠状动脉成形术（PTCA）治疗急性心肌梗死，但未成功。随后他接受了冠状动脉内链激酶治疗。系列冠状动脉造影显示LAD再通及动脉瘤形成。该患者接受了冠状动脉搭桥手术，并接受口服抗凝剂、硝酸盐和阻滞剂治疗。随访一年后他情况良好。
