Xu Peng, Zhong Shili, Tan Hui
Rehabilitation Medicine Department, Army Medical Center of PLA, Chongqing, China.
Department of Intensive Care Medicine, Army Medical Center of PLA, Chongqing, China.
Front Cardiovasc Med. 2024 Dec 2;11:1504835. doi: 10.3389/fcvm.2024.1504835. eCollection 2024.
Coronary aneurysm, a dilated segment of the coronary artery, is a rare condition with a prevalence ranging from 0.02% to 0.2%. According to the current literature, reports of large aneurysms in the left main artery are extremely rare. We present a case of a 43-year-old male patient presenting with cough, wheezing, and dyspnea after a cold. Initial examinations suggested viral myocarditis, but further evaluation revealed a giant aneurysm in the left main coronary artery. Due to the high surgical risk, conservative treatment was chosen. Follow-up assessments showed no significant changes in the coronary aneurysm, with slight improvement in dyspnea. This rare case of a left main congenital coronary aneurysm suggests that treatment should consider the patient's overall condition, thrombosis presence, suitability for anticoagulant therapy, and aneurysm location and size.
冠状动脉瘤是冠状动脉的扩张段，是一种罕见疾病，患病率在0.02%至0.2%之间。根据目前的文献，左主干动脉大动脉瘤的报道极为罕见。我们报告一例43岁男性患者，感冒后出现咳嗽、喘息和呼吸困难。初步检查提示病毒性心肌炎，但进一步评估发现左主干冠状动脉有巨大动脉瘤。由于手术风险高，选择了保守治疗。随访评估显示冠状动脉瘤无明显变化，呼吸困难略有改善。这例罕见的左主干先天性冠状动脉瘤病例表明，治疗应考虑患者的整体状况、血栓形成情况、抗凝治疗的适用性以及动脉瘤的位置和大小。
