一例合并多发性动脉瘤的罕见巨大冠状动脉瘤病例。
A rare case of giant coronary artery aneurysm in the context of multiple arterial aneurysms.
作者信息
Solodkyy Andriy, Shalhoub Joseph, Chetty Govind, Briffa Norman P
机构信息
Department of Cardiothoracic Surgery, Northern General Hospital, Herries Road, Sheffield, UK; Department of Vascular Surgery, Northwick Park Hospital, Watford Road, Harrow, Middlesex, UK.
出版信息
Int J Surg Case Rep. 2012;3(7):311-3. doi: 10.1016/j.ijscr.2012.03.023. Epub 2012 Mar 29.
INTRODUCTION
Whilst the incidence of CAA has been reported as up to 5%, giant CAA (>2cm) is rare.
PRESENTATION OF CASE
We present a rare case of 3cm×4cm giant coronary artery aneurysm (CAA) in the context of aorto-iliac aneurysmal disease, treated by staged open surgical repair.
DISCUSSION
Abdominal aortic aneurysm (AAA) and CAA share risk factors and aetiological mechanisms, therefore should be considered, particularly when CAA is diagnosed in the first instance.
CONCLUSIONS
Surgical intervention for diagnosed giant CAA appears to be the treatment of choice in the reported literature, with the order of intervention when AAA co-exists remaining a point for debate.
引言
虽然已报道大脑淀粉样血管病（CAA）的发病率高达5%，但巨大CAA（>2cm）却很罕见。
病例介绍
我们报告了一例罕见的3cm×4cm巨大冠状动脉瘤（CAA）病例，该病例合并主-髂动脉瘤病，采用分期开放手术修复治疗。
讨论
腹主动脉瘤（AAA）和CAA有共同的危险因素和病因机制，因此应予以考虑，尤其是在首次诊断出CAA时。
结论
在已报道的文献中，对诊断出的巨大CAA进行手术干预似乎是首选治疗方法，当合并AAA时的干预顺序仍是一个有争议的问题。
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