Madsen Esben Hjorth, Villadsen Anton Boel, Frøbert Ole
Department of Cardiology, Aalborg Hospital, Aarhus University Hospital, DK-9000, Denmark.
Catheter Cardiovasc Interv. 2006 Sep;68(3):399-402. doi: 10.1002/ccd.20793.
Coronary artery aneurysm is an unusual finding at coronary arteriography. We present a case of acute myocardial infarction and a giant aneurysm of the left circumflex coronary artery (CX) in a 70-year-old male with hypertension. The culprit lesion was a thrombus occupying the aneurysm and the distal CX. By an unconventional manoeuvre the thrombus was aspirated via the 7 French guiding catheter. After stent implantation in the distal CX a thrombolysis in myocardial infarction 3 flow was achieved and still present at 2-month follow-up. The patient was prescribed aspirin and clopidogrel as a life-long therapy.
冠状动脉瘤在冠状动脉造影中是一种不常见的发现。我们报告一例70岁患有高血压的男性，其发生急性心肌梗死且左回旋支冠状动脉（CX）有巨大动脉瘤。罪犯病变是一个占据动脉瘤及CX远端的血栓。通过一种非常规操作，经7F引导导管抽吸出血栓。在CX远端植入支架后，实现了心肌梗死溶栓3级血流，且在2个月随访时仍保持。患者被处方终身服用阿司匹林和氯吡格雷。
