Division of Cardiology, Department of Medicine, West Virginia University, Morgantown, West Virginia.
Cardiovascular Institute, Hospital Clínico Universitario San Carlos, Madrid, Spain.
JACC Cardiovasc Interv. 2018 Jul 9;11(13):1211-1223. doi: 10.1016/j.jcin.2018.02.041.
Aneurysmal dilation of coronary arteries is observed in up to 5% of patients undergoing coronary angiography. Due to their poorly elucidated underlying mechanisms, their variable presentations, and the lack of largescale outcome data on their various treatment modalities, coronary artery aneurysms and coronary ectasia pose a challenge to the managing clinician. This paper aims to provide a succinct review of aneurysmal coronary disease, with a special emphasis on the challenges associated with its interventional treatment.
在接受冠状动脉造影的患者中，高达 5%的患者存在冠状动脉瘤样扩张。由于其潜在机制尚未阐明，临床表现多样，并且缺乏关于其各种治疗方式的大规模结局数据，因此冠状动脉瘤和冠状动脉扩张给临床医生的管理带来了挑战。本文旨在对动脉瘤性冠状动脉疾病进行简要综述，特别强调介入治疗相关的挑战。
