Takahashi Makoto, Nitta Yoshio, Yoshida Seijiro
Department of Cardiovascular Surgery, Sendai City Medical Center Sendai Open Hospital, Sendai, Japan.
Kyobu Geka. 2018 Nov;71(12):1008-1012.
Coronary artery aneurysm is rare disease, usually asymptomatic and is often found by chance by echocardiography, computed tomography(CT) and coronary angiography. However, its rupture or thrombotic obstruction to the periphery of the coronary artery leads to cardiac tamponade, angina pectoris, or myocardial infarction. We describe 2 cases of giant coronary artery aneurysm presented as acute coronary syndrome. Surgical resection of the aneurysm and coronary artery bypass grafting were successfully carried out under cardiopulmonary bypass. Postoperative courses of both cases were uneventful, and the patients were free of symptoms.
冠状动脉瘤是一种罕见疾病，通常无症状，常通过超声心动图、计算机断层扫描（CT）和冠状动脉造影偶然发现。然而，其破裂或血栓形成阻塞冠状动脉外周会导致心脏压塞、心绞痛或心肌梗死。我们描述了2例表现为急性冠状动脉综合征的巨大冠状动脉瘤病例。在体外循环下成功进行了动脉瘤手术切除和冠状动脉搭桥术。两例患者术后病程均顺利，且无症状。
