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类风湿关节炎患者的冠状动脉快速进展性瘤样扩张。

Rapidly evolving coronary aneurysm in a patient with rheumatoid arthritis.

机构信息

Section of Cardiovascular Medicine, Department of Medicine, University of Oklahoma Health Sciences Center, 920 S. L. Young Boulevard., WP 3010 Oklahoma City, OK 73104, USA.

出版信息

Cardiol Res Pract. 2011 Feb 21;2011:659439. doi: 10.4061/2011/659439.

DOI:10.4061/2011/659439
PMID:21403892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3043288/
Abstract

Coronary artery aneurysm (CAA) formation in the setting of an acute inflammatory state due to connective tissue disease is rare. We report a case of rapid progression from an ectatic to an aneursymatic left circumflex coronary artery leading to an acute coronary event in a patient with rheumatoid arthritis (RA). We report the accelerated growth of the aneurysm as it was temporally related to the lapse in treatment and the management strategies involved with this entity.

摘要

由于结缔组织疾病导致的急性炎症状态下形成的冠状动脉瘤（CAA）较为罕见。我们报告了一例类风湿关节炎（RA）患者的左回旋支冠状动脉从扩张到瘤样扩张，迅速进展为急性冠状动脉事件的病例。我们报告了随着治疗的中断，该动脉瘤加速生长的情况，以及该实体所涉及的管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b6/3043288/d4fe671d67dc/CRP2011-659439.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b6/3043288/a019184cdeb5/CRP2011-659439.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b6/3043288/09f1fc86f006/CRP2011-659439.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b6/3043288/d4fe671d67dc/CRP2011-659439.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b6/3043288/a019184cdeb5/CRP2011-659439.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b6/3043288/09f1fc86f006/CRP2011-659439.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b6/3043288/d4fe671d67dc/CRP2011-659439.003.jpg

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本文引用的文献

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Atherosclerosis in rheumatoid arthritis versus diabetes: a comparative study.类风湿关节炎与糖尿病中的动脉粥样硬化：一项对比研究。
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Successful revascularization of multiple coronary artery aneurysms using a combination of surgical strategies.采用多种手术策略成功实现多条冠状动脉瘤血管重建。
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