Kacila Mirsad, Matteucci Marco L S, Bevilacqua Stefano, Granov Nermir, Glauber Mattia
Department of Cardiac Surgery--Hospital "G. Pasquinucci" Massa, Via Aurelia sud-Massa, Italy.
Bosn J Basic Med Sci. 2006 Nov;6(4):22-4. doi: 10.17305/bjbms.2006.3113.
Coronary artery aneurysms (CAAs) are rare and their management is controversial. Their incidence varies from 1,5% to 5% of the coronary angiographies, with predilection of the right coronary artery. Unruptured coronary aneurysms are often silent and may remain undiagnosed. The etiology can be either congenital or acquired. We describe a case of a left anterior descending artery (LAD) aneurysm treated with an off-pump surgical revascularization with a LIMA to LAD without exclusion or ligature of the aneurysm.
冠状动脉瘤（CAAs）较为罕见，其治疗存在争议。在冠状动脉造影中，其发生率在1.5%至5%之间，好发于右冠状动脉。未破裂的冠状动脉瘤通常没有症状，可能一直未被诊断出来。病因可能是先天性的，也可能是后天获得性的。我们描述了一例左前降支（LAD）动脉瘤的病例，采用非体外循环下手术进行血运重建，使用左内乳动脉（LIMA）至LAD，未对动脉瘤进行排除或结扎。
