巨大冠状动脉瘤合并ST段抬高型心肌梗死：一例报告并文献复习

A huge coronary artery aneurysm with ST-elevation myocardial infarction: A case report and review of literature.

作者信息

Ghazinour Mohammad, Ghaedi Arshin, Bazrgar Aida, Montaseri Mohammad, Sasannia Mohammad, Bazrafshan Drissi Hamed

机构信息

Department of Cardiovascular Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Heliyon. 2024 Sep 26;10(19):e38511. doi: 10.1016/j.heliyon.2024.e38511. eCollection 2024 Oct 15.

DOI:10.1016/j.heliyon.2024.e38511

PMID:39397967

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11470508/

Abstract

BACKGROUND

Giant coronary artery aneurysms (GCAA), are rare findings often discovered incidentally in adults. GCAAs are defined by a significant enlargement of coronary arteries, posing a heightened risk of myocardial infarction and thrombosis.

CASE PRESENTATION

A 52-year-old male known case of ischemic heart disease (IHD), presented with chest pain and signs of anterior ST-elevation MI (STEMI). He had a history of MI six years ago and was on a medical regimen. Coronary angiography revealed a huge aneurysm (4.8∗8.2mm) in the left anterior descending artery (LAD) and ectasia in other arteries. Surgical management via coronary artery bypass graft (CABG) was pursued, successfully addressing the aneurysm.

CONCLUSION

Recent advancements have improved our understanding and imaging capabilities for coronary artery aneurysms (CAAs). Treatment options include medical therapy, percutaneous coronary intervention, or surgery, with decisions tailored to individual cases. Standardized treatment protocols await clarification through further research, including randomized controlled trials.

摘要

背景

巨大冠状动脉瘤（GCAA）在成人中罕见，常为偶然发现。GCAA定义为冠状动脉显著扩张，会增加心肌梗死和血栓形成的风险。

病例介绍

一名52岁男性，已知患有缺血性心脏病（IHD），出现胸痛及前壁ST段抬高型心肌梗死（STEMI）体征。他六年前有过心肌梗死病史，正在接受药物治疗。冠状动脉造影显示左前降支（LAD）有一个巨大动脉瘤（4.8×8.2mm），其他动脉有扩张。通过冠状动脉旁路移植术（CABG）进行手术治疗，成功处理了动脉瘤。