Aggarwal Vikas, Mishkel Gregory, Goswami Nilesh
Prairie Heart Institute, St. John's Hospital, Springfield, IL.
Prairie Heart Institute, Springfield, IL.
Catheter Cardiovasc Interv. 2016 Aug;88(2):209-14. doi: 10.1002/ccd.26478. Epub 2016 Mar 4.
Coronary artery aneurysms (CAAs) are often an incidental finding amongst patients undergoing coronary angiography. Most CAAs are managed conservatively; rarely a larger CAA can lead to intramural thrombus formation and coronary artery embolization/obstruction even without the presence of significant stenosis. Despite these clinical implications, therapeutic options are limited to case reports and no clearly defined guidelines have been established for treatment. In this article, we present a unique case of a rapidly enlarging left main CAA, with no identifiable etiology that was treated with percutaneous exclusion via coil embolization and an Amplatzer™ septal occluder device. We also discuss existing literature, pathophysiology, and management options for CAAs. © 2016 Wiley Periodicals, Inc.
冠状动脉瘤（CAAs）在接受冠状动脉造影的患者中常常是偶然发现的。大多数冠状动脉瘤采用保守治疗；即使没有明显狭窄，较大的冠状动脉瘤也很少会导致壁内血栓形成以及冠状动脉栓塞/阻塞。尽管有这些临床影响，但治疗选择仅限于病例报告，且尚未建立明确的治疗指南。在本文中，我们介绍了一例独特的病例，即左主干冠状动脉瘤迅速增大，病因不明，通过线圈栓塞和Amplatzer™房间隔封堵器进行经皮封堵治疗。我们还讨论了冠状动脉瘤的现有文献、病理生理学和治疗选择。© 2016威利期刊公司
