Lawani Osayi, Ganim Rick
HCA Houston Healthcare, Kingwood, USA.
Vital Heart & Vein, HCA Houston Healthcare, Kingwood, USA.
Case Rep Cardiol. 2020 Jun 9;2020:8890806. doi: 10.1155/2020/8890806. eCollection 2020.
Giant coronary artery aneurysms are a rare, asymptomatic occurrence. Presently, there is a lack of substantial research performed in the U.S., likely due to its low prevalence. As we are increasingly becoming a global community, strengthening data for seemingly rare disease processes such as this need to be addressed, particularly when they can progress to involve complications such as pericardial effusion caused by aneurysmal rupture or infection. A popular treatment option for these aneurysms is polytetrafluoroethylene-covered stents; they have been favorable with obtaining a high percentage of procedural success rates in aneurysms not associated with myocardial infarctions. In this paper, we present a case of a giant coronary artery aneurysm located in the left circumflex coronary artery that was complicated by a pericardial effusion. We will also present its unusual repair using a long drug-eluting stent as a scaffold to overlap covered coronary stents used to help exclude the aneurysm.
巨大冠状动脉瘤是一种罕见的无症状病症。目前，美国对此开展的实质性研究较少，这可能是由于其发病率较低。随着我们日益成为一个全球共同体，对于诸如此类看似罕见的疾病进程，需要加强相关数据的收集，尤其是当它们可能进展为涉及诸如动脉瘤破裂或感染引起的心包积液等并发症时。对于这些动脉瘤，一种常用的治疗选择是聚四氟乙烯覆膜支架；在与心肌梗死无关的动脉瘤中，它们在获得高比例的手术成功率方面表现良好。在本文中，我们介绍了一例位于左旋支冠状动脉的巨大冠状动脉瘤病例，该病例并发了心包积液。我们还将介绍使用长药物洗脱支架作为支架来重叠覆盖冠状动脉支架以帮助排除动脉瘤的非常规修复方法。
