一位大动脉炎患者巨大冠状动脉瘤的切除术

Resection of giant coronary artery aneurysms in a Takayasu's arteritis patient.

作者信息

Kanaan Samer, Baker Craig, Starnes Vaughn

机构信息

Department of Cardiothoracic Surgery, University of Southern California, Los Angeles, California, USA.

出版信息

Ann Thorac Surg. 2008 May;85(5):1795-6. doi: 10.1016/j.athoracsur.2007.10.053.

DOI:10.1016/j.athoracsur.2007.10.053

PMID:18442592

Abstract

Takayasu's arteritis is a chronic vasculitis of unknown cause. Coronary arteries are affected in approximately 10% of cases with aneurysm formation being extremely rare. Coronary aneurysms (not related to Takayasu's arteritis) have been surgically treated with aneurysm resection and coronary bypass. We describe the case of a young woman found to have giant coronary artery aneurysms. She underwent resection of the aneurysms and short segment saphenous vein bypass to the right and left coronary arteries. In reviewing the literature, this seems to be the first case of Takayasu's arteritis related to coronary artery aneurysm treated surgically with a good result.

摘要

高安动脉炎是一种病因不明的慢性血管炎。约10%的病例会累及冠状动脉，冠状动脉瘤形成极为罕见。（非高安动脉炎相关的）冠状动脉瘤已通过动脉瘤切除术和冠状动脉搭桥术进行手术治疗。我们报告了一例发现患有巨大冠状动脉瘤的年轻女性病例。她接受了动脉瘤切除术及右冠状动脉和左冠状动脉的短段大隐静脉搭桥术。在查阅文献时，这似乎是首例经手术治疗且效果良好的与冠状动脉瘤相关的高安动脉炎病例。