Schultz T C
Department of Clinical Pathology, Wangaratta District Base Hospital, Victoria, Australia.
Am J Forensic Med Pathol. 1989 Mar;10(1):63-6. doi: 10.1097/00000433-198903000-00016.
Coronary artery aneurysms are an extremely rare cause of death at any age, but particularly so in young adults. A case is described of a young and previously fit man who died suddenly following thrombosis within one of multiple coronary artery aneurysms. He had had a childhood illness with symptoms consistent with an episode of unrecognized infantile polyarteritis nodosa. It is suggested that many cases of aneurysm of the coronary arteries in young adults, where atherosclerosis has been excluded, may in fact be due to previous polyarteritis, rather than of congenital origin as is usually claimed.
冠状动脉瘤在任何年龄段都是极为罕见的死亡原因，在年轻人中尤其如此。本文描述了一例年轻且既往健康的男性，该患者在多个冠状动脉瘤之一内发生血栓形成后突然死亡。他童年时期曾患过一种疾病，症状与未被识别的婴儿结节性多动脉炎发作相符。有人认为，在排除动脉粥样硬化的情况下，许多年轻成人冠状动脉瘤病例实际上可能归因于既往的多动脉炎，而非通常所认为的先天性起源。
