一名年轻急性心肌梗死患者的冠状动脉瘤：病例报告
Coronary artery aneurysms in a young patient with acute myocardial infarction: a case report.
作者信息
Su Ho-Ming, Voon Wen-Chol, Hsieh Chong-Chao, Chiu Chaw-Chi, Lin Tsung-Hsien, Lai Wen-Ter, Sheu Sheng-Hsiung
机构信息
Department of Internal Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
出版信息
Kaohsiung J Med Sci. 2004 Aug;20(8):399-403. doi: 10.1016/S1607-551X(09)70176-7.
Coronary artery aneurysms are not uncommon. They are usually arteriosclerotic in origin, and may be congenital or secondary to injury, dissection, infection, inflammation, or Kawasaki disease (KD). Herein, we report a case involving a 25-year-old male smoker with acute myocardial infarction (AMI). Coronary angiography showed triple-vessel disease, coronary artery aneurysms, and diffuse ectasia. Coronary artery bypass grafting was performed without complications. Based on his history, serologic examinations, and angiographic findings, we suspected that his coronary artery aneurysms and ectasia were the adult sequelae of KD. This case is a good reminder that KD victims may suffer from young-onset AMI.
冠状动脉瘤并不罕见。它们通常起源于动脉硬化，也可能是先天性的，或继发于损伤、夹层、感染、炎症或川崎病（KD）。在此，我们报告一例涉及一名25岁男性吸烟者的急性心肌梗死（AMI）病例。冠状动脉造影显示三支血管病变、冠状动脉瘤和弥漫性扩张。进行了冠状动脉旁路移植术，无并发症。根据他的病史、血清学检查和血管造影结果，我们怀疑他的冠状动脉瘤和扩张是KD的成人后遗症。这个病例很好地提醒人们，KD患者可能会患早发性AMI。
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