Sciagrà R, Tebbe U, Rahlf G, Neuhaus K L, Kreuzer H
Clin Cardiol. 1986 Nov;9(11):583-6. doi: 10.1002/clc.4960091113.
A 62-year-old man was admitted to our hospital with unstable angina. The coronary arteriography showed the occlusion of the left anterior descending artery and other stenotic lesions. The patient underwent an aortocoronary bypass operation, but unfortunately he did not survive. Surprisingly, the necropsy revealed him to be affected by an inflammatory process, involving the aorta and the coronary arteries. According to the clinical history and examination, the findings at necropsy and the histologic picture, the diagnosis of Takayasu's arteritis appears the most probable. Coronary arteritis has to be considered as a possible etiology of ischemic symptoms also in subjects who appear affected by typical atherosclerotic ischemic heart disease.
一名62岁男性因不稳定型心绞痛入住我院。冠状动脉造影显示左前降支动脉闭塞及其他狭窄病变。该患者接受了主动脉冠状动脉搭桥手术，但不幸的是，他未能存活。令人惊讶的是，尸检发现他患有炎症过程，累及主动脉和冠状动脉。根据临床病史、检查、尸检结果和组织学图像，最有可能的诊断是高安动脉炎。在看似患有典型动脉粥样硬化性缺血性心脏病的患者中，冠状动脉炎也必须被视为缺血症状的一种可能病因。
