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一名近期感染新型冠状病毒肺炎的成年人新诊断出右冠状动脉瘤。

Newly Diagnosed Right Coronary Artery Aneurysm in an Adult with Recent Coronavirus Disease 2019 Infection.

作者信息

Shin Jeong-Hun, Ro Sun Kyun

机构信息

Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri 11923, Korea.

Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri 11923, Korea.

出版信息

Diagnostics (Basel). 2022 Mar 26;12(4):815. doi: 10.3390/diagnostics12040815.

DOI:10.3390/diagnostics12040815
PMID:35453863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9027980/
Abstract

It is well known that coronavirus disease 2019 (COVID-19) can affect the vascular endothelium; however, coronary artery aneurysm complicated by COVID-19 in adults has not yet been reported. Herein, we report a case of a newly developed right coronary artery aneurysm in an adult with recent COVID-19 infection. A 66-year-old man was referred for surgical intervention of the right coronary artery aneurysm. His previous coronary angiograms performed 17 months prior revealed no evidence of coronary aneurysm. However, he was confirmed as having COVID-19 four months prior and thereafter newly diagnosed with right coronary artery aneurysm. The further evaluation of the impact of COVID-19 on the occurrence of coronary artery aneurysm may be necessary, considering the alleged correlation between COVID-19 and vascular complications.

摘要

众所周知,2019冠状病毒病(COVID-19)可影响血管内皮;然而,成人COVID-19并发冠状动脉瘤尚未见报道。在此,我们报告一例近期感染COVID-19的成人新发右冠状动脉瘤病例。一名66岁男性因右冠状动脉瘤接受手术干预。17个月前他之前的冠状动脉造影未显示冠状动脉瘤的迹象。然而,他在4个月前被确诊感染COVID-19,此后新诊断为右冠状动脉瘤。鉴于COVID-19与血管并发症之间的所谓关联,进一步评估COVID-19对冠状动脉瘤发生的影响可能是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d147/9027980/4e7d687d84d5/diagnostics-12-00815-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d147/9027980/5e5318d39eff/diagnostics-12-00815-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d147/9027980/4e7d687d84d5/diagnostics-12-00815-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d147/9027980/5e5318d39eff/diagnostics-12-00815-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d147/9027980/4e7d687d84d5/diagnostics-12-00815-g002.jpg

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本文引用的文献

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JACC Case Rep. 2021 Apr;3(4):581-585. doi: 10.1016/j.jaccas.2021.01.012. Epub 2021 Mar 24.
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Characteristics and Outcomes of US Children and Adolescents With Multisystem Inflammatory Syndrome in Children (MIS-C) Compared With Severe Acute COVID-19.美国儿童多系统炎症综合征(MIS-C)与严重急性 COVID-19 患儿的特征和结局比较。
JAMA. 2021 Mar 16;325(11):1074-1087. doi: 10.1001/jama.2021.2091.
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Clinical Characteristics of 58 Children With a Pediatric Inflammatory Multisystem Syndrome Temporally Associated With SARS-CoV-2.
58 例与 SARS-CoV-2 相关的儿童炎症性多系统综合征的临床特征。
JAMA. 2020 Jul 21;324(3):259-269. doi: 10.1001/jama.2020.10369.
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Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19.新型冠状病毒肺炎的肺血管内皮细胞炎症、血栓形成和血管生成。
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Management of Coronary Artery Aneurysms.冠状动脉瘤的处理。
JACC Cardiovasc Interv. 2018 Jul 9;11(13):1211-1223. doi: 10.1016/j.jcin.2018.02.041.
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Surgical treatment for coronary artery aneurysm: a single-centre experience.冠状动脉瘤的外科治疗:单中心经验
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