Grandmougin Daniel, Croisille Pierre, Robin Christophe, Péoc'h Michel, Barral Xavier
Department of Cardiovascular Surgery, Hôpital Nord, Saint-Etienne, 42 055 France.
Cardiovasc Pathol. 2005 Sep-Oct;14(5):272-5. doi: 10.1016/j.carpath.2005.04.001.
Giant atheromatous coronary aneurysms mimicking a cardiac tumor remain exceptional. We report the case of a patient who experienced a severe inferior myocardial infarction related to a giant thrombosed coronary aneurysm masquerading a cardiac tumor and compressing right cardiac cavities with mechanical detrimental consequences on tricuspid, mitral and aortic valvular competence. The contribution of imaging was essential to assess diagnosis, understand the physiopathogeny of myocardial and valvular consequences and plan the optimal surgical strategy.
酷似心脏肿瘤的巨大动脉粥样硬化性冠状动脉瘤实属罕见。我们报告一例患者，其因巨大血栓形成的冠状动脉瘤伪装成心脏肿瘤并压迫右心腔，导致严重下壁心肌梗死，对三尖瓣、二尖瓣和主动脉瓣功能产生机械性不良影响。影像学检查对于评估诊断、理解心肌和瓣膜病变的病理生理机制以及制定最佳手术策略至关重要。
