Açar Burak, Ünal Sefa, Yayla Çağrı, Ertem Ahmet Göktuğ, Şentürk Bihter, Özdemir Mustafa, Balcı Mustafa Mücahit, Maden Orhan
Department of Cardiology, Yuksek Ihtisas Heart-Research and Education Hospital, Ankara, Turkey.
Department of Radiology, Yuksek Ihtisas Heart-Research and Education Hospital, Ankara, Turkey.
J Tehran Heart Cent. 2018 Jan;13(1):35-37.
Coronary artery aneurysms are rare findings in patients referred for coronary angiography. Their prevalence ranges between 0.2% and 6% in different case series. We describe a male patient with a huge left main coronary artery aneurysm causing exertional angina, which was diagnosed with coronary angiography. All of the left coronary system arose from the aneurysm. He underwent coronary angiography again, followed by multislice computed tomography with a three-dimensional reconstruction. Although there is no known standard treatment modality for such aneurysms, we planned medical therapy after consultation with the cardiovascular surgery department. The patient's first visit was in March 2013, and he was thereafter followed up until September 2016.
冠状动脉瘤在接受冠状动脉造影的患者中是罕见的发现。在不同的病例系列中,其患病率在0.2%至6%之间。我们描述了一名患有巨大左主干冠状动脉瘤并导致劳力性心绞痛的男性患者,该患者通过冠状动脉造影得以确诊。左冠状动脉系统全部起源于动脉瘤。他再次接受了冠状动脉造影,随后进行了多层螺旋计算机断层扫描及三维重建。尽管目前尚无针对此类动脉瘤的已知标准治疗方式,但我们在与心血管外科会诊后计划采取药物治疗。该患者于2013年3月首次就诊,此后一直随访至2016年9月。