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多发性巨大冠状动脉瘤——病例报告及文献复习。

Multiple and giant coronary artery aneurysm - case report and a review of the literature.

机构信息

Department of Cardiology, Department of Interventional Cardiology, Emergency County Hospital, Oradea, Romania;

出版信息

Rom J Morphol Embryol. 2020 Apr-Jun;61(2):551-554. doi: 10.47162/RJME.61.2.26.

DOI:10.47162/RJME.61.2.26
PMID:33544808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7864292/
Abstract

We report an unusual case of a 70-year-old female patient admitted in the Department of Cardiology, Emergency County Hospital, Oradea, Romania, for unstable angina and heart failure. Coronary angiography and computed tomography revealed multiple coronary artery aneurysms, some of them giant, associated with significant coronary artery disease. Coronary artery aneurysm is a rare disease, but the frequency of diagnostic increased with the development of coronary angiography. However, very rarely coronary artery aneurysm is very large and can be termed "giant aneurysm", and a small number of reports have been described in literature. The management and the prognosis of the disease is still controversial.

摘要

我们报告了一例罗马尼亚奥拉迪亚县立医院心脏病科收治的 70 岁女性患者,该患者患有不稳定型心绞痛和心力衰竭。冠状动脉造影和计算机断层扫描显示多发性冠状动脉瘤,其中一些为巨大冠状动脉瘤,并伴有明显的冠状动脉疾病。冠状动脉瘤是一种罕见疾病,但随着冠状动脉造影的发展,其诊断率有所增加。然而,非常罕见的冠状动脉瘤非常大,可以被称为“巨大动脉瘤”,文献中也有少量报道。该疾病的治疗和预后仍存在争议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/1e38ebaca072/RJME-61-2-551-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/55af6cfa3560/RJME-61-2-551-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/7fe92303c378/RJME-61-2-551-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/b923686a0a43/RJME-61-2-551-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/2c3810c9c2a9/RJME-61-2-551-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/1e38ebaca072/RJME-61-2-551-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/55af6cfa3560/RJME-61-2-551-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/7fe92303c378/RJME-61-2-551-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/b923686a0a43/RJME-61-2-551-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/2c3810c9c2a9/RJME-61-2-551-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28fe/7864292/1e38ebaca072/RJME-61-2-551-fig5.jpg

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本文引用的文献

1
Aneurysmal coronary artery disease: An overview.动脉瘤性冠状动脉疾病:概述
Glob Cardiol Sci Pract. 2017 Oct 31;2017(3):e201726. doi: 10.21542/gcsp.2017.26.
2
Coronary Artery Aneurysms: A Review of the Epidemiology, Pathophysiology, Diagnosis, and Treatment.冠状动脉瘤:流行病学、病理生理学、诊断及治疗综述
Front Cardiovasc Med. 2017 May 5;4:24. doi: 10.3389/fcvm.2017.00024. eCollection 2017.
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Molecular genetics of coronary artery disease.冠状动脉疾病的分子遗传学
J Hum Genet. 2016 Jan;61(1):71-7. doi: 10.1038/jhg.2015.70. Epub 2015 Jul 2.
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Position dependent right ventricular dysfunction caused by a giant right coronary artery aneurysm.位置依赖性右心室功能障碍由巨大右冠状动脉瘤引起。
Wien Klin Wochenschr. 2011 Jan;123(1-2):58-60. doi: 10.1007/s00508-010-1516-9. Epub 2011 Jan 21.
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Aneurysm of the coronary arteries.冠状动脉瘤
Am Heart J. 1948 Sep;36(3):403-21. doi: 10.1016/0002-8703(48)90337-8.
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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
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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.
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MDCT of coronary artery aneurysms.冠状动脉瘤的多层螺旋CT检查
AJR Am J Roentgenol. 2005 Mar;184(3 Suppl):S19-20. doi: 10.2214/ajr.184.3_supplement.01840s19.
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Aneurysms of the coronary artery. Report of ten cases and review of literature.冠状动脉瘤。十例报告并文献复习。
Am J Cardiol. 1963 Feb;11:228-37. doi: 10.1016/0002-9149(63)90064-x.
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Congenital aneurysm of the coronary artery with an arteriovenous fistula.先天性冠状动脉瘤伴动静脉瘘
Acta Radiol (Stockh). 1958 Oct;50(4):333-40. doi: 10.3109/00016925809172312.