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从冠状动脉扩张到巨大冠状动脉瘤：是否有必要进行随访？

From Coronary Artery Ectasia to Giant Coronary Artery Aneurysm: Is it Necessary to Follow-Up?

作者信息

Rizzo Martina, Landra Federico, Gambacciani Andrea, Lorenz Veronica, Valente Serafina, Ascenzi Flavio D', Cameli Matteo, Montesi Gianfranco

机构信息

Department of Cardiothoracic and Vascular Disease, Division of Cardiac Surgery, University of Siena, Siena, Italy.

Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy.

出版信息

JACC Case Rep. 2022 Nov 16;4(22):1480-1483. doi: 10.1016/j.jaccas.2022.09.006.

DOI:10.1016/j.jaccas.2022.09.006
PMID:36444191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9700080/
Abstract

Here we present a case of an asymptomatic patient with a giant coronary artery aneurysm developed in the context of diffuse coronary artery ectasia. Giant coronary artery aneurysm was complicated by the presence of a large thrombus. The heart team settled for surgical treatment of the lesion. ().

摘要

在此，我们报告一例无症状患者，其在弥漫性冠状动脉扩张的背景下出现巨大冠状动脉瘤。巨大冠状动脉瘤合并有一个大血栓。心脏团队决定对该病变进行手术治疗。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/82bc8188b7a5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/0c51ff73f7c1/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/c7f397dc8458/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/3cfdd1896bbb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/82bc8188b7a5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/0c51ff73f7c1/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/c7f397dc8458/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/3cfdd1896bbb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bca/9700080/82bc8188b7a5/gr3.jpg

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本文引用的文献

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ACR Appropriateness Criteria® Noncerebral Vasculitis.ACR 适宜性标准®非脑血管炎。
J Am Coll Radiol. 2021 Nov;18(11S):S380-S393. doi: 10.1016/j.jacr.2021.08.005.
2
Coronary artery ectasia: prevalence, angiographic characteristics and clinical outcome.冠状动脉扩张：患病率、血管造影特征及临床结局
Open Heart. 2020 Apr;7(1). doi: 10.1136/openhrt-2019-001096.
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Giant coronary aneurysms, from diagnosis to treatment: A literature review.巨大冠状动脉瘤：从诊断到治疗——文献综述。
Arch Cardiovasc Dis. 2020 Jan;113(1):59-69. doi: 10.1016/j.acvd.2019.10.008. Epub 2019 Dec 19.
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Coronary artery aneurysms: a review of the natural history, pathophysiology, and management.冠状动脉瘤：自然病史、病理生理学及治疗综述
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Interposition vein graft for giant coronary aneurysm repair.用于巨大冠状动脉瘤修复的间置静脉移植物
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