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一名非持续性室性心动过速患者的巨大左主干动脉瘤：病例报告。

Giant left main stem aneurysm in a patient with non-sustained ventricular tachycardia: A case report.

作者信息

Erdem Saliha, Damlakhy Ahmad, Kanwar Amrit, Dayco John, Lieberman Randy

机构信息

Department of Internal Medicine, Detroit Medical Center Wayne State University Detroit Michigan USA.

Department of Cardiology, Detroit Medical Center Wayne State University Detroit Michigan USA.

出版信息

Clin Case Rep. 2024 Aug 17;12(8):e9335. doi: 10.1002/ccr3.9335. eCollection 2024 Aug.

DOI:10.1002/ccr3.9335
PMID:39156204
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329841/
Abstract

It is important to maintain a vigilant approach towards incidental, rare findings like coronary artery aneurysms (CAAs) presenting with arrhythmia, particularly in patients with a history of myocardial infarction and cardiovascular risk factors. Diagnosis needs thorough evaluation. Tailoring management strategies to individual patient characteristics is crucial for optimizing outcomes.

摘要

对于像伴有心律失常的冠状动脉瘤（CAA）这样偶然出现的罕见发现保持警惕很重要，尤其是在有心肌梗死病史和心血管危险因素的患者中。诊断需要全面评估。根据个体患者特征制定管理策略对于优化治疗结果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/357a/11329841/70ed4fe966ff/CCR3-12-e9335-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/357a/11329841/8eaf693044d5/CCR3-12-e9335-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/357a/11329841/70ed4fe966ff/CCR3-12-e9335-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/357a/11329841/8eaf693044d5/CCR3-12-e9335-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/357a/11329841/70ed4fe966ff/CCR3-12-e9335-g002.jpg

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本文引用的文献

1
Etiology, clinical presentation, and management of left main coronary artery aneurysms.左冠状动脉主干动脉瘤的病因、临床表现及治疗
J Card Surg. 2022 Nov;37(11):3675-3686. doi: 10.1111/jocs.16870. Epub 2022 Aug 21.
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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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Giant right coronary artery aneurysm - A rare presentation.巨大右冠状动脉瘤——一种罕见的表现。
J Med Imaging Radiat Oncol. 2020 Apr;64(2):252-254. doi: 10.1111/1754-9485.12980. Epub 2019 Dec 4.
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Coronary artery aneurysms, insights from the international coronary artery aneurysm registry (CAAR).冠状动脉瘤：国际冠状动脉瘤注册研究的新认识。
Int J Cardiol. 2020 Jan 15;299:49-55. doi: 10.1016/j.ijcard.2019.05.067. Epub 2019 Jul 19.
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Coronary Artery Aneurysms: A Review of the Epidemiology, Pathophysiology, Diagnosis, and Treatment.冠状动脉瘤：流行病学、病理生理学、诊断及治疗综述
Front Cardiovasc Med. 2017 May 5;4:24. doi: 10.3389/fcvm.2017.00024. eCollection 2017.
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Giant aneurysm of the right coronary artery and magnetic resonance coronary angiography.右冠状动脉巨大动脉瘤与磁共振冠状动脉造影
Ann Saudi Med. 2014 Jul-Aug;34(4):346-50. doi: 10.5144/0256-4947.2014.346.
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Coronary CT angiography in the quantitative assessment of coronary plaques.冠状动脉CT血管造影在冠状动脉斑块定量评估中的应用
Biomed Res Int. 2014;2014:346380. doi: 10.1155/2014/346380. Epub 2014 Aug 5.
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Expanding giant right coronary artery aneurysm: an acute need for new management strategies.扩张性巨大右冠状动脉瘤：对新管理策略的迫切需求。
Heart Views. 2014 Jan;15(1):13-5. doi: 10.4103/1995-705X.132139.
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Giant coronary artery aneurysm: imaging findings before and after treatment with a polytetrafluoroethylene-covered stent.巨大冠状动脉瘤：聚四氟乙烯覆膜支架治疗前后的影像学表现
Circ Cardiovasc Interv. 2008 Aug;1(1):85-6. doi: 10.1161/CIRCINTERVENTIONS.107.763656.
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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
Cardiol Rev. 2008 Nov-Dec;16(6):301-4. doi: 10.1097/CRD.0b013e3181852659.