Cohen R, Salengro E, Vignaux O, Bical O, Spaulding C
Service de cardiologie, hôpital Cochin, 27, rue du Faubourg Saint-Jacques, 75014 Paris.
Arch Mal Coeur Vaiss. 2006 Mar;99(3):247-50.
Coronary aneurysm is an uncommon variant of coronary atherosclerosis. It usually involves the right coronary artery and is often associated with significant coronary stenosis. It may be revealed by an acute coronary syndrome (ACS). We report the case of a 49 year-old woman in whom a large coronary aneurysm of the left anterior descending artery was revealed by an ACS. Coronary angiography remains the gold standard diagnosis procedure, but spiral computed tomography may be of interest to specify the location and nature of the aneurysm, and thus guide surgical or percutaneous treatment.
冠状动脉瘤是冠状动脉粥样硬化的一种罕见变体。它通常累及右冠状动脉，且常伴有严重的冠状动脉狭窄。它可能由急性冠状动脉综合征（ACS）揭示。我们报告一例49岁女性，其左前降支的一个大冠状动脉瘤由ACS揭示。冠状动脉造影仍然是金标准诊断程序，但螺旋计算机断层扫描可能有助于明确动脉瘤的位置和性质，从而指导手术或经皮治疗。
