Zhang Shanshan, Liu Geli, Yu Tielian, Zhou Guiming, Zheng Rongxiu
Department of Pediatrics, General Hospital, Tianjin Medical University Tianjin 300052, China.
Department of Ultrasound, General Hospital, Tianjin Medical University Tianjin 300052, China.
Int J Clin Exp Pathol. 2015 Aug 1;8(8):9468-70. eCollection 2015.
Coronary artery aneurysm or ectasia was reported in approximately 15% to 25% of the affected children, particularly in the proximal end of the main blood vessel and the left anterior descending part. Rare patients have been reported with aneurysm in the distal end of the right coronary artery. In this case report, we present a rare case with aneurysm in the distal end of the right coronary artery. Multi-slice computed tomography was performed for the coronary angiography. Aspirin (10 mg/kg body weight per day) and gamma globulin (2 kg/kg body weight) was administrated via intravenous injection. The patient is currently in a healthy status with a 12-month follow up.
据报道，约15%至25%的患病儿童存在冠状动脉瘤或扩张，尤其是在主要血管的近端和左前降支部分。有罕见病例报告称右冠状动脉远端出现动脉瘤。在本病例报告中，我们呈现了一例右冠状动脉远端动脉瘤的罕见病例。采用多层计算机断层扫描进行冠状动脉造影。通过静脉注射给予阿司匹林（每日10毫克/千克体重）和丙种球蛋白（2克/千克体重）。经过12个月的随访，该患者目前处于健康状态。
