Cheung A, Chan C W
Department of Pathology, University of Hong Kong.
N Z Med J. 1990 Mar 28;103(886):129-30.
Primary dissecting aneurysm of the coronary arteries usually presents as sudden death or complications of myocardial infarction. The most common site of the dissection has been the anterior descending branch of the left coronary artery. A Chinese woman with primary dissecting aneurysm of the right coronary artery presenting as cardiac tamponade is reported. This is the first case of ruptured coronary aneurysm reported in the Chinese and the only case presenting as cardiac tamponade since 1931.
原发性冠状动脉夹层动脉瘤通常表现为猝死或心肌梗死并发症。夹层最常见的部位是左冠状动脉前降支。本文报道了一名以心脏压塞为表现的原发性右冠状动脉夹层动脉瘤的中国女性患者。这是中文报道的首例冠状动脉瘤破裂病例,也是自1931年以来唯一一例以心脏压塞为表现的病例。