Peker O, Ozişik K, Islamoglu F, Posacioglu H, Demircan M
Department of Cardiovascular Surgery, Sevgi Hospital, Ankara, Turkey.
Jpn Heart J. 2001 Jan;42(1):135-41. doi: 10.1536/jhj.42.135.
Coronary artery aneurysm (CAA) is defined as coronary dilatation which exceeds the diameter of a normal adjacent segment or the diameter of the patients's largest coronary vessel by as much as 1.5 times. It is an uncommon pathology with a frequency of 1-4% in routine autopsies or coronary angiographies. Atherosclerosis plays an important role in the development of CAA, and it may be a predominant cause in the majority of patients. However, the timing of surgical intervention and the treatment options for CAA are still controversial. In this report, we present a patient who had multiple CAAs of all main coronary arteries and abdominal aortic aneurysm. Different treatment modalities and indications are also discussed.
冠状动脉瘤（CAA）被定义为冠状动脉扩张，其直径超过相邻正常节段的直径或患者最大冠状动脉血管直径的1.5倍。它是一种罕见的病理情况，在常规尸检或冠状动脉造影中的发生率为1% - 4%。动脉粥样硬化在CAA的发生发展中起重要作用，并且可能是大多数患者的主要病因。然而，CAA的手术干预时机和治疗方案仍存在争议。在本报告中，我们介绍了一位患有所有主要冠状动脉多发CAA及腹主动脉瘤的患者。同时也讨论了不同的治疗方式和适应证。
