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1例罕见的Bentall手术后10年出现的巨大左旋支冠状动脉瘤。

A rare case of a giant circumflex coronary artery aneurysm 10 years after bentall surgery.

作者信息

Chiocchi Marcello, Di Donna Carlo, Intorcia Alfredo, Pugliese Luca, De Stasio Vincenzo, Di Tosto Federica, Spiritigliozzi Luigi, D'Errico Francesca, Benelli Leonardo, Pasqualetto Monia, Cerimele Cecilia, Cesareni Matteo, Grimaldi Francesco, Sbordone Francesco Paolo, Luciano Alessandra, Laudazi Mario, Rellini Carlotta, Romeo Alessia, Vanni Gianluca, Morosetti Daniele, Di Luozzo Marco, Floris Roberto, Romeo Francesco, Garaci Francesco Giuseppe

机构信息

Divison of Diagnostic Imaging, Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Rome, Italy.

Unit of Cardiology and Interventional Cardiology, University of Rome 'Tor Vergata', Rome, Italy.

出版信息

Radiol Case Rep. 2021 May 1;16(7):1749-1753. doi: 10.1016/j.radcr.2021.03.065. eCollection 2021 Jul.

Abstract

In this paper, we describe a rare case of coronary artery aneurysms occasionally found on a pre interventional Coronary Computed Tomography Angiography performed on a 67-year-old man with a history of aneurysm of the ascending aorta previously treated with Bentall surgery, who arrived at our hospital to have a percutaneous valve-in-valve implantation procedure. Even though the patient was considered not eligible for the procedure, due to his many comorbidities, and conservatively managed, at 1-year followup his angiographic condition remained stable.

摘要

在本文中,我们描述了一例罕见的冠状动脉瘤病例,该病例偶然发现于一名67岁男性的介入前冠状动脉计算机断层扫描血管造影检查中。该男性有升主动脉瘤病史,此前接受了Bentall手术,此次因要进行经皮瓣中瓣植入手术而来到我院。尽管由于该患者合并多种疾病,被认为不适合进行该手术,并采取了保守治疗,但在1年的随访中,其血管造影情况保持稳定。

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