Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
Heart Lung Circ. 2011 Oct;20(10):663-5. doi: 10.1016/j.hlc.2011.02.009. Epub 2011 Apr 7.
We report an unusual case of congenital giant coronary aneurysm. A 23 year-old male with a history of acute myocardial infarction presented an abnormal shadow in the left cardiac border on routine X-ray. Electrocardiogram and physical examination were normal without any clinical signs of inflammation, but computed tomography (CT) scan and cardiac magnetic resonance imaging (MRI) revealed a giant (>50mm) coronary aneurysm. Coronary artery bypass grafting (CABG) with coronary artery aneurysm (CAA) resection resolved the CAA. Coronary artery aneurysms are entities of localised dilation and can be common events in chronic infectious disease as a result of the systemic inflammatory state; however, giant coronary aneurysms (measuring more than 50mm) are rare. This is especially true where the pathological aetiology was not clearly defined or was believed to be of congenital origin. To date only a few published case reports exist for this type of pathological entity.
我们报告了一例罕见的先天性巨大冠状动脉瘤。一名 23 岁男性，有急性心肌梗死病史，在常规 X 光片上显示左心缘有异常阴影。心电图和体格检查正常，无任何炎症的临床迹象，但计算机断层扫描（CT）和心脏磁共振成像（MRI）显示巨大（>50mm）冠状动脉瘤。冠状动脉旁路移植术（CABG）联合冠状动脉瘤（CAA）切除术解决了 CAA。冠状动脉瘤是局部扩张的实体，可能是慢性感染性疾病中全身性炎症状态的常见事件；然而，巨大的冠状动脉瘤（>50mm）则较为罕见。在未明确或被认为是先天性起源的病理病因的情况下，尤其如此。迄今为止，仅存在少数此类病理实体的已发表病例报告。
