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巨大右冠状动脉瘤：一例报告

Giant Right Coronary Artery Aneurysm: A Case Report.

作者信息

Saghir Iqra, Moeen Zunera, Saghir Ghanwa, Bangash Shida, Tariq Sara, Akter Shamima

机构信息

Internal Medicine, King Edward Medical University / Mayo Hospital, Lahore, PAK.

Obstetrics and Gynecology, Pakistan Institute of Medical Sciences, Islamabad, PAK.

出版信息

Cureus. 2018 Nov 19;10(11):e3609. doi: 10.7759/cureus.3609.

DOI:10.7759/cureus.3609
PMID:30693162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6343859/
Abstract

Coronary artery aneurysms are not very uncommon but 'giant' coronary artery aneurysms are rare, with a reported prevalence of 0.02% to 0.2%. Coronary artery aneurysm may be symptomatic or asymptomatic depending on their size and location but it is very unusual for a giant coronary artery aneurysm to be asymptomatic. Here, we present a case in which the giant coronary artery aneurysm remained undiagnosed and asymptomatic for several years.

摘要

冠状动脉瘤并不十分罕见，但“巨大”冠状动脉瘤却很罕见，据报道其患病率为0.02%至0.2%。冠状动脉瘤可能有症状，也可能无症状，这取决于其大小和位置，但巨大冠状动脉瘤无症状的情况非常少见。在此，我们报告一例巨大冠状动脉瘤多年未被诊断且无症状的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/57276258b987/cureus-0010-00000003609-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/13c1f441cdb1/cureus-0010-00000003609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/f838d65796cb/cureus-0010-00000003609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/801826563e01/cureus-0010-00000003609-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/57276258b987/cureus-0010-00000003609-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/13c1f441cdb1/cureus-0010-00000003609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/f838d65796cb/cureus-0010-00000003609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/801826563e01/cureus-0010-00000003609-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f4a/6343859/57276258b987/cureus-0010-00000003609-i04.jpg

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本文引用的文献

1
An unusual giant right coronary artery aneurysm resembles an intracardiac mass.一个不寻常的巨大右冠状动脉瘤类似心内肿物。
Anesth Analg. 2008 Oct;107(4):1161-2. doi: 10.1213/ane.0b013e318181f74f.
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Coronary artery aneurysm: a review and hypothesis regarding etiology.冠状动脉瘤：关于病因的综述与假说
Arch Pathol Lab Med. 2008 May;132(5):823-8. doi: 10.5858/2008-132-823-CAAARA.
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Resection of giant coronary artery aneurysms in a Takayasu's arteritis patient.一位大动脉炎患者巨大冠状动脉瘤的切除术
Ann Thorac Surg. 2008 May;85(5):1795-6. doi: 10.1016/j.athoracsur.2007.10.053.
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Coronary artery aneurysm: a review.冠状动脉瘤：综述
Clin Cardiol. 2006 Oct;29(10):439-43. doi: 10.1002/clc.4960291005.
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Giant coronary artery aneurysm causing superior vena cava syndrome and congestive heart failure.巨大冠状动脉瘤导致上腔静脉综合征和充血性心力衰竭。
Am J Cardiol. 2006 Oct 1;98(7):986-8. doi: 10.1016/j.amjcard.2006.04.047. Epub 2006 Aug 17.
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Giant coronary artery aneurysm secondary to Kawasaki disease: diagnosis in an adult by multi-detector row CT coronary angiography.川崎病继发巨大冠状动脉瘤：成人患者通过多排螺旋CT冠状动脉造影进行诊断
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Giant coronary aneurysm obstructing the right heart.巨大冠状动脉瘤阻塞右心。
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Giant coronary artery aneurysm mimicking a compressive cardiac tumor Imaging features and operative strategy.酷似压迫性心脏肿瘤的巨大冠状动脉瘤：影像学特征与手术策略
Cardiovasc Pathol. 2005 Sep-Oct;14(5):272-5. doi: 10.1016/j.carpath.2005.04.001.
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Surgical treatment of giant coronary artery aneurysm.巨大冠状动脉瘤的外科治疗
J Thorac Cardiovasc Surg. 2005 Sep;130(3):817-21. doi: 10.1016/j.jtcvs.2005.04.004.