Hinterauer L, Goebel N
Rofo. 1983 Nov;139(5):480-6. doi: 10.1055/s-2008-1055932.
Amongst 166 patients with aneurysms, ectasia or megaloarteries shown on coronary angiograms, 86.1% had dilated vessels as part of generalised coronary sclerosis (usually in patients with three-vessel disease). In 9%, dilatation was of iatrogenic origin and in 4.8% it was idiopathic. One patient had Marfan's syndrome. Amongst 9 000 patients, there were eight with megalo-arteries without stenosis; six of these had atypical angina and three suffered an infarct. Patients with definite dilatation of the coronary artery and stagnation of contrast flow required treatment.
在166例冠状动脉造影显示有动脉瘤、血管扩张或大动脉扩张的患者中,86.1%的患者血管扩张是全身性冠状动脉硬化的一部分(通常见于三支血管病变的患者)。9%的患者血管扩张是医源性的,4.8%是特发性的。有1例患者患有马方综合征。在9000例患者中,有8例大动脉扩张但无狭窄;其中6例有不典型心绞痛,3例发生心肌梗死。冠状动脉有明确扩张且造影剂滞留的患者需要治疗。