Li Dian-yuan, Hu Shang-shou, Sun Li-zhong, Song Yun-hu, Wang Wei, Pan Shi-wei, Zhao Hong, Luo Guo-hua, Liu Yong-min, Qi Zhi-tao, Tao Tian-fu
Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China.
Zhonghua Wai Ke Za Zhi. 2006 Nov 15;44(22):1535-7.
To discuss the clinical features and surgical treatments of giant coronary artery aneurysm (CAA).
From July 1996 to October 2004, 6 giant CAA patients were underwent surgery at Fuwai hospital. Three cases were underwent CAA resection, 2 concomitant coronary bypass, 3 reconstruction. The giant CAA was often combined with other cardiac diseases. Four cases underwent additional procedures of fistula closure, 3 aortic valve replacements, 2 aortoplasty and 1 thrombus cleaning at the same time.
All patients recovered uneventfully. The mean of cardiopulmonary bypass time was (144 +/- 26) min (range 67 to 207 min). Aortic cross clamping time was (104 +/- 21) min (range 56 to 172 min). Patients follow-up time occurred from 8 to 87 months (mean of 48 months). All patients were free of symptoms during follow-up. None of the patients died during the follow-up period and none of the CAA recurred.
The giant CAA is a serious cardiovascular disease, early diagnosis and surgical treatment are mandatory.
探讨巨大冠状动脉瘤（CAA）的临床特征及外科治疗方法。
1996年7月至2004年10月，6例巨大CAA患者在阜外医院接受手术治疗。3例行CAA切除术，2例同时行冠状动脉搭桥术，3例行重建术。巨大CAA常合并其他心脏疾病。4例同时行瘘管闭合附加手术，3例行主动脉瓣置换术，2例行主动脉成形术，1例行血栓清除术。
所有患者均顺利康复。体外循环时间平均为（144±26）分钟（范围67至207分钟）。主动脉阻断时间为（104±21）分钟（范围56至172分钟）。患者随访时间为8至87个月（平均48个月）。随访期间所有患者均无症状。随访期间无患者死亡，CAA均未复发。
巨大CAA是一种严重的心血管疾病，早期诊断和手术治疗是必要的。
