右冠状动脉瘤致右心室心肌梗死及迟发性心脏压塞——病例报告

Right ventricular myocardial infarction and late cardiac tamponade due to right coronary artery aneurysm--a case report.

作者信息

Koike R, Oku T, Satoh H, Sawada Y, Suma H, Takeuchi A, Kato Y, Kita Y, Hirota Y, Kawamura K

机构信息

Department of Thoracic Surgery, Osaka Medical College, Takatsuki, Japan.

出版信息

Jpn J Surg. 1990 Jul;20(4):463-7. doi: 10.1007/BF02470833.

DOI:10.1007/BF02470833

PMID:2201812

Abstract

Coronary artery aneurysm is a relatively rare disease, which may cause angina, myocardial infarction, or sudden unexpected death due to thrombosis, embolization or rupture. This report describes a case of a 46 year old male who suffered an inferior myocardial infarction with right ventricular involvement, third degree atrioventricular block, cardiogenic shock and late cardiac tamponade, all caused by a right coronary artery aneurysm. He was successfully treated with emergency coronary artery bypass grafting. A review of the literature is also given to emphasize the importance of prompt recognition and correct management of the coronary artery aneurysm.

摘要

冠状动脉瘤是一种相对罕见的疾病，可能因血栓形成、栓塞或破裂而导致心绞痛、心肌梗死或猝死。本报告描述了一例46岁男性患者，其因右冠状动脉瘤导致下壁心肌梗死并累及右心室、三度房室传导阻滞、心源性休克和迟发性心脏压塞。他通过急诊冠状动脉旁路移植术获得成功治疗。本文还对文献进行了综述，以强调及时识别和正确处理冠状动脉瘤的重要性。