Glickel S Z, Maggs P R, Ellis F H
Ann Thorac Surg. 1978 Apr;25(4):372-6. doi: 10.1016/s0003-4975(10)63561-8.
The case is presented of a 28-year-old woman with systemic vasculitis, aortic insufficiency, and an aneurysm of the proximal right coronary artery. More than 100 patients with coronary artery aneurysm have been reported, and this represents the twenty-first case treated surgically. Coronary artery aneurysms occur more frequently than previously realized and are seen in approximately 1.5% of patients with coronary artery disease. In addition to arteriosclerotic aneurysm, other common types of coronary aneurysm include those occurring congenitally or from mycosis, dissection, trauma, vasculitis, or periarteritis nodosa. Because of the risk of thrombosis and rupture, aneurysmectomy and saphenous vein bypass grafting are recommended for all but small, diffuse, or multiple aneurysms or dissecting aneurysms.
本文介绍了一名28岁患有系统性血管炎、主动脉瓣关闭不全及右冠状动脉近端动脉瘤的女性病例。此前已报道过100多例冠状动脉瘤患者，这是第21例接受手术治疗的病例。冠状动脉瘤的发生率比之前认为的更高，在约1.5%的冠心病患者中可见。除了动脉硬化性动脉瘤外，其他常见类型的冠状动脉瘤包括先天性、霉菌性、夹层性、外伤性、血管炎性或结节性动脉周围炎所致的动脉瘤。由于存在血栓形成和破裂的风险，除小的、弥漫性的、多发性动脉瘤或夹层动脉瘤外，建议对所有动脉瘤进行动脉瘤切除术和大隐静脉旁路移植术。
