老年女性的多支巨大冠状动脉瘤
Multi-vessel giant coronary artery aneurysm in an elderly female.
作者信息
Khouzam Rami N, Gardner Jonathan D, Bomb Ritin, Holden Anthony A
机构信息
Department of Cardiology, University of Tennessee Health Science Center, Methodist University Hospital, Memphis, TN, USA.
Department of Cardiothoracic Surgery, Methodist University Hospital, Memphis, TN, USA.
出版信息
Ann Transl Med. 2017 May;5(10):210. doi: 10.21037/atm.2017.04.40.
Coronary artery aneurysm (CAA) is a rare anomaly. The right coronary artery is the most commonly affected, followed by the left circumflex (LCX), or the left anterior descending artery (LAD). Three-vessel disease or left main (LM) involvement is extremely rare. A giant coronary artery aneurysm (GCAA) has an extremely low incidence and refers to an aneurysm that is 20 mm or greater in size. Most CAAs occur as a consequence of atherosclerosis. Most patients with CAA are males, have three-vessel disease, and a history of myocardial infarction (MI). Thrombosis within the aneurysm can lead to distal embolization and MI. Depending on the severity of coronary stenosis, management of patients with LM CAAs is either surgical or medical.
冠状动脉瘤（CAA）是一种罕见的异常情况。右冠状动脉是最常受累的血管，其次是左旋支（LCX）或左前降支动脉（LAD）。三支血管病变或左主干（LM）受累极为罕见。巨大冠状动脉瘤（GCAA）的发病率极低，指的是直径为20毫米或更大的动脉瘤。大多数冠状动脉瘤是由动脉粥样硬化引起的。大多数冠状动脉瘤患者为男性，患有三支血管病变，并有心肌梗死（MI）病史。动脉瘤内的血栓可导致远端栓塞和心肌梗死。根据冠状动脉狭窄的严重程度，左主干冠状动脉瘤患者的治疗方法包括手术治疗或药物治疗。
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