巨大冠状动脉瘤导致上腔静脉综合征和充血性心力衰竭。

Giant coronary artery aneurysm causing superior vena cava syndrome and congestive heart failure.

作者信息

Kumar Gautam, Karon Barry L, Edwards William D, Puga Francisco J, Klarich Kyle W

机构信息

Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA.

出版信息

Am J Cardiol. 2006 Oct 1;98(7):986-8. doi: 10.1016/j.amjcard.2006.04.047. Epub 2006 Aug 17.

DOI:10.1016/j.amjcard.2006.04.047

PMID:16996889

Abstract

Coronary artery aneurysms are defined as localized coronary artery dilations >1.5 times the diameter of the adjacent segments. In adults, they are commonly of atherosclerotic origin and are usually asymptomatic. This is the first case report of a coronary artery aneurysm causing superior vena cava syndrome and heart failure. Chest x-ray showed cardiomegaly, and transthoracic echocardiography showed a mass that was confirmed by transesophageal echocardiography, computed tomography, and coronary angiography. In conclusion, giant coronary artery aneurysms can cause superior vena cava syndrome.

摘要

冠状动脉瘤被定义为局部冠状动脉扩张，其直径大于相邻节段直径的1.5倍。在成年人中，它们通常起源于动脉粥样硬化，且通常无症状。这是首例关于冠状动脉瘤导致上腔静脉综合征和心力衰竭的病例报告。胸部X光显示心脏扩大，经胸超声心动图显示有一个肿块，经食管超声心动图、计算机断层扫描和冠状动脉造影得以证实。总之，巨大冠状动脉瘤可导致上腔静脉综合征。