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巨大右冠状动脉瘤致三尖瓣狭窄。

A Giant Right Coronary Artery Aneurysm Leading to Tricuspid Stenosis.

机构信息

Center for Adult Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Department of Clinical Laboratory Center, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung, and Blood Vessel Diseases, Beijing, China.

出版信息

Ann Thorac Surg. 2019 Sep;108(3):e145-e147. doi: 10.1016/j.athoracsur.2019.01.078. Epub 2019 Mar 12.

DOI:10.1016/j.athoracsur.2019.01.078
PMID:30872099
Abstract

Giant coronary artery aneurysms (CAAs) are rare coronary artery anomalies. The management of CAAs is still controversial because of the different possible pathophysiologies. In our case, tricuspid stenosis resulting from compression of the giant CAA was successfully relieved by CAA repair. As far as we know, this is the first reported case of compression by a giant CAA resulting in tricuspid stenosis.

摘要

巨大冠状动脉瘤(CAAs)是罕见的冠状动脉异常。由于不同的可能病理生理学机制,CAAs 的处理仍然存在争议。在我们的病例中,通过修复巨大 CAA 成功缓解了由巨大 CAA 压迫引起的三尖瓣狭窄。据我们所知,这是首例由巨大 CAA 压迫导致三尖瓣狭窄的报道病例。

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