Przybojewski J Z, Barnard P M, Van der Walt J J, Botha J A
S Afr Med J. 1986 May 24;69(11):694-9.
A 31-year-old doctor's wife suffered from severe unstable angina pectoris (AP) due to two large, heavily calcified masses involving the right coronary artery and the left anterior descending branch of the left coronary artery. The causes of the masses could not be determined with certainty, but in view of the history (which included the ingestion of large quantities of raw boerewors (traditional spiced sausage) and histopathological findings, we believe that they were coronary artery aneurysms which developed secondary to coronary arteritis many years previously. The possibility of echinococcal (hydatid) infection is also discussed. Cardiac surgery entailed total excision of both masses, together with sections of their accompanying coronary arteries which had become fibrotic as a result of the arteritis, and reestablishment of coronary blood flow by the insertion of two saphenous vein coronary artery bypass grafts. Her AP was dramatically relieved and she continues to be asymptomatic without taking anti-anginal drugs.
一名31岁医生的妻子患有严重的不稳定型心绞痛，病因是右冠状动脉和左冠状动脉左前降支有两个巨大的、严重钙化的肿块。肿块的病因无法确切确定，但鉴于病史（包括大量食用生布尔香肠（传统五香香肠））和组织病理学检查结果，我们认为它们是多年前继发于冠状动脉炎的冠状动脉瘤。文中还讨论了棘球蚴（包虫）感染的可能性。心脏手术包括将两个肿块及其因动脉炎而纤维化的伴随冠状动脉段全部切除，并通过插入两根大隐静脉冠状动脉旁路移植术重建冠状动脉血流。她的心绞痛得到了显著缓解，在未服用抗心绞痛药物的情况下一直无症状。
