Department of Medicine, Division of Cardiology, Loma Linda University School of Medicine, Loma Linda, California.
Department of Cardiothoracic Surgery, Loma Linda University School of Medicine, Loma Linda, California.
Tex Heart Inst J. 2023 Jan 1;50(1). doi: 10.14503/THIJ-21-7676.
Left main coronary artery aneurysm is an unusual complication of infective endocarditis. Although this type of aneurysm is often asymptomatic, rupture and thrombus formation that result in myocardial infarction are known complications; therefore, prompt recognition and surgical intervention are warranted. This report describes a patient who presented with a giant left main coronary artery aneurysm 3.5 years after being treated for 4-valve endocarditis. The management and technical aspects of this challenging case are discussed here.
左主干冠状动脉瘤是感染性心内膜炎的一种罕见并发症。尽管这种类型的动脉瘤通常无症状，但已知的并发症包括破裂和血栓形成导致心肌梗死；因此，需要及时识别和手术干预。本报告描述了一名患者，他在接受 4 尖瓣心内膜炎治疗 3.5 年后出现巨大左主干冠状动脉瘤。本文讨论了这个具有挑战性病例的处理和技术方面。
