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疑似不完全川崎病患者巨大冠状动脉瘤的血运重建

Revascularisation of a giant coronary artery aneurysm in suspected incomplete Kawasaki-disease.

作者信息

Reinerth G, Konradi D, Rupprecht H-J, Münzel T, Vahl C F

机构信息

Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Mainz, Langenbeckstrasse 1, 55131 Mainz, Germany.

出版信息

Thorac Cardiovasc Surg. 2006 Aug;54(5):358-9. doi: 10.1055/s-2006-923807.

Abstract

Kawasaki disease leads to typical vascular complications in up to 20 % of untreated cases. We describe a 47-year-old patient with coronary vessel disease, involving the right coronary artery with a huge aneurysmatic dilatation, suspicious for an incomplete form of Kawasaki disease. We found little information about the surgical treatment and postoperative course of this disease in adults. Typically, these infrequent patients present with acute myocardial infarction and require interdisciplinary decision-making.

摘要

川崎病在高达20%的未经治疗的病例中会引发典型的血管并发症。我们描述了一名47岁患有冠状动脉疾病的患者,其右冠状动脉出现巨大动脉瘤样扩张,怀疑为不完全型川崎病。我们发现关于这种疾病在成人中的手术治疗及术后病程的信息很少。通常,这些罕见患者会出现急性心肌梗死,需要多学科共同决策。

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