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[急性心肌梗死冠状动脉介入治疗后发生巨大冠状动脉瘤;1例报告]

[Large coronary aneurysm after coronary intervention for acute myocardial infarction; report of a case].

作者信息

Okada Syuichi, Kaneko T, Ezure M, Satoh Y, Hasegawa Y, Koike N, Okonogi S, Takihara H

机构信息

Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.

出版信息

Kyobu Geka. 2009 Apr;62(4):336-9.

Abstract

A 59-year-old man was admitted to our hospital because of angina pectoris and a large right coronary aneurysm. Two years previously, he underwent percutaneous coronary balloon angioplasty for a stenotic lesion in right coronary artery (RCA) #3. Angiography and computed tomography showed a large right coronary aneurysm. On-pump coronary artery bypass grafting (CABG), ligation of RCA proximal and distal to the aneurysm, resection of the aneurysm was performed successfully. Postoperative course was uneventful with satisfactory angiographic results.

摘要

一名59岁男性因心绞痛和巨大的右冠状动脉瘤入住我院。两年前,他因右冠状动脉(RCA)3段狭窄病变接受了经皮冠状动脉球囊血管成形术。血管造影和计算机断层扫描显示有一个巨大的右冠状动脉瘤。成功进行了体外循环冠状动脉旁路移植术(CABG)、动脉瘤近端和远端的右冠状动脉结扎以及动脉瘤切除术。术后过程顺利,血管造影结果令人满意。

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