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巨大左冠状动脉瘤表现为多次植入式心律转复除颤器电击

Giant Left Main Coronary Artery Aneurysm Presenting as Multiple Implantable Cardioverter Defibrillator Shocks.

作者信息

Malyshev Yury, Syed Asma, Castillo Ricardo, Syed Rumman A, Sahni Sonu

机构信息

Cardiology, Maimonides Medical Center, Brooklyn, USA.

Cardiology, Brookdale University Hospital Medical Center, Brooklyn, USA.

出版信息

Cureus. 2020 Apr 12;12(4):e7653. doi: 10.7759/cureus.7653.

DOI:10.7759/cureus.7653
PMID:32411554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7217590/
Abstract

Giant aneurysms of the left main coronary artery are one of the rarest findings in cardiology, encountered in less than 0.02% of patients. The presentation is usually the same as coronary artery disease since most coronary aneurysms in the western world are associated with atherosclerosis. Here we report the first case of giant aneurysm of the left main coronary artery presenting as ventricular tachycardia with multiple shocks of the defibrillator in a 57-year-old man with heart failure. We also review the etiology, pathology, and management of coronary aneurysms.

摘要

左冠状动脉巨大动脉瘤是心脏病学中极为罕见的发现之一，在不到0.02%的患者中出现。其临床表现通常与冠状动脉疾病相同，因为西方世界的大多数冠状动脉瘤都与动脉粥样硬化有关。在此，我们报告首例左冠状动脉巨大动脉瘤病例，该病例表现为一名57岁心力衰竭男性患者出现室性心动过速并伴有除颤器多次电击。我们还回顾了冠状动脉瘤的病因、病理及治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/00640292647d/cureus-0012-00000007653-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/4abe2ad084d0/cureus-0012-00000007653-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/0dcaf8c3a5a7/cureus-0012-00000007653-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/03b25971a1c9/cureus-0012-00000007653-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/7062289f4426/cureus-0012-00000007653-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/00640292647d/cureus-0012-00000007653-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/4abe2ad084d0/cureus-0012-00000007653-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/0dcaf8c3a5a7/cureus-0012-00000007653-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/03b25971a1c9/cureus-0012-00000007653-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/7062289f4426/cureus-0012-00000007653-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/7217590/00640292647d/cureus-0012-00000007653-i05.jpg

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Tex Heart Inst J. 2022 Sep 1;49(5). doi: 10.14503/THIJ-21-7557.
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Multivessel Coronary Artery Fistula Presenting as Coronary Steal Syndrome Leading to Cardiac Arrest.多支冠状动脉瘘表现为冠状动脉窃血综合征导致心脏骤停。
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Aneurysmal coronary artery disease.动脉瘤性冠状动脉疾病
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