Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, 2-52 Kozoji-cho kita, Kasugai City, Aichi, 487-0016, Japan.
Cardiovascular Surgery Department, Sendai Tokushukai Hospital, Miyagi, Japan.
Gen Thorac Cardiovasc Surg. 2021 Sep;69(9):1347-1351. doi: 10.1007/s11748-021-01668-4. Epub 2021 Jun 8.
A 62-year-old man was diagnosed with a giant coronary artery aneurysm associated with immunoglobulin G4 (IgG4)-related disease. He had previously undergone two thoracic operations with sternotomies and abdominal aortic aneurysm repair for IgG4-related aortopathy. We opted for hybrid open and endovascular repair to reduce risk and avoid complications of a resternotomy and extracorporeal circulation. This first successful case of hybrid repair of a giant coronary artery aneurysm shows that the procedure is safe and feasible in patients with IgG4-related vasculopathy. It is critical to carefully monitor these patients for the occurrence of new IgG4-related aneurysms and other manifestations of vasculopathy.
一位 62 岁男性被诊断为伴有免疫球蛋白 G4（IgG4）相关疾病的巨大冠状动脉瘤。他之前因 IgG4 相关主动脉病而行过两次开胸手术和腹主动脉瘤修复术。我们选择了杂交开放和血管内修复来降低再次开胸和体外循环的风险并避免并发症。首例 IgG4 相关血管病巨大冠状动脉瘤杂交修复成功病例表明，该手术对患者是安全且可行的。仔细监测这些患者是否出现新的 IgG4 相关动脉瘤和其他血管病表现至关重要。
