Szalat Auryan, Durst Ronen, Cohen Avshalom, Lotan Chaim
Internal Medicine B Department, Hadassah-Hebrew University Hospital, Jerusalem, Israel.
Catheter Cardiovasc Interv. 2005 Oct;66(2):203-8. doi: 10.1002/ccd.20448.
Coronary artery aneurysm is an uncommon occurrence, yet it is described more often today than in the past as coronary angiography is now routinely used for diagnosis and treatment of ischemic heart disease. However, there is no therapeutic consensus regarding this finding. We present a case of giant coronary artery aneurysm and review the literature on the use of polytetrafluoroethylene-covered stents as a therapeutic option for this condition. Combined antiaggregant therapy is needed after the procedure. Randomized controlled trials of surgery versus covered stents are necessary to define the best treatment for large coronary artery aneurysms.
冠状动脉瘤并不常见，但如今它的报道比过去更多，因为冠状动脉造影现在已常规用于缺血性心脏病的诊断和治疗。然而，对于这一发现尚无治疗共识。我们报告一例巨大冠状动脉瘤病例，并回顾关于使用聚四氟乙烯覆膜支架作为这种情况治疗选择的文献。术后需要联合抗血小板治疗。有必要进行手术与覆膜支架的随机对照试验，以确定大型冠状动脉瘤的最佳治疗方法。
