Ko Po-Yen, Chang Chih-Ping, Lin Jen-Jyh, Liu Juhn-Cherng
Division of Cardiology, Department of Medicine, China Medical University Hospital, Taichung, Taiwan.
Thorac Cardiovasc Surg. 2013 Dec;61(8):691-3. doi: 10.1055/s-0032-1304548. Epub 2012 Apr 25.
Aneurysms of the left main coronary artery are extremely rare. The cause of such aneurysms is uncertain. Although the treatment of distal left main aneurysms is very complicated, definitive treatment is necessary because the aneurysm may grow further and cause embolism or rupture. Herein, we report a case of acute myocardial infarction caused by aneurysm of the distal left main coronary artery, which was successfully treated by performing coronary artery bypass surgery, followed by implantation of a polytetrafluoroethylene-covered stent.
左冠状动脉主干动脉瘤极为罕见。此类动脉瘤的病因尚不确定。尽管左冠状动脉主干远端动脉瘤的治疗非常复杂，但由于动脉瘤可能会进一步增大并导致栓塞或破裂，因此进行确定性治疗是必要的。在此，我们报告一例由左冠状动脉主干远端动脉瘤引起的急性心肌梗死病例，该病例通过冠状动脉搭桥手术，随后植入聚四氟乙烯覆膜支架成功治愈。
