Goebel N, Gander M P, Wellauer J
Rofo. 1976 Oct;125(4):329-33. doi: 10.1055/s-0029-1230471.
The diagnosis of coronary aneurysms has for a long time been made at autopsy. After a general review of coronary artery aneurysms, a large aneurysm of the circumflex branch of the left coronary is described; this was diagnosed by selective coronary angiography and successfully treated by surgery. The results are compared with six other reported cases of pre-operatively diagnosed coronary artery aneurysms. Since complications, such as rupture, embolisation or infarction, are common in large coronary aneurysms, early diagnosis is desirable. An abnormal bulge of the cardiac contour or circular calcification within or at the edge of the cardiac shadow may be suggestive of the diagnosis.
长期以来，冠状动脉瘤的诊断都是在尸检时做出的。在对冠状动脉瘤进行全面综述后，描述了一例左冠状动脉回旋支的大动脉瘤；该病例通过选择性冠状动脉造影得以诊断，并成功接受了手术治疗。将结果与其他六例术前诊断为冠状动脉瘤的报告病例进行了比较。由于诸如破裂、栓塞或梗死等并发症在大冠状动脉瘤中很常见，因此早期诊断是可取的。心脏轮廓异常隆起或心脏阴影内部或边缘的环形钙化可能提示该诊断。
