Ovrum E, Frøysaker T, Vatne K
Thorac Cardiovasc Surg. 1984 Dec;32(6):383-5. doi: 10.1055/s-2007-1023430.
Aneurysms of the coronary arteries may cause angina, myocardial infarction or sudden death due to thrombosis, embolization or rupture. The patient described herein may represent the first reported case of a large coronary artery aneurysm compressing the upper caval vein, and thereby producing a significant inflow gradient. The anatomical details were demonstrated by digital subtraction angiography (DSA). The patient successfully underwent resection of the aneurysm and reconstruction of the coronary artery with a saphenous vein bypass graft.
冠状动脉瘤可能因血栓形成、栓塞或破裂而导致心绞痛、心肌梗死或猝死。本文所述患者可能是首例有报道的大型冠状动脉瘤压迫上腔静脉，从而产生明显血流流入梯度的病例。通过数字减影血管造影（DSA）显示了解剖细节。该患者成功接受了动脉瘤切除术，并用大隐静脉旁路移植术重建了冠状动脉。
