Falk E
Acta Pathol Microbiol Immunol Scand A. 1984 Jan;92(1):73-5.
It is generally believed that it takes decades to develop a complicated atherosclerotic plaque. This view is challenged by the present case describing a hyperlipidemic patient who died of vein graft atherosclerosis less than 4 years after otherwise successful coronary bypass surgery. Although the atherogenesis may be accelerated in autogenous coronary vein grafts compared with native coronary arteries, the present case illustrates that complicated atherosclerosis may develop in the course of only a few years if appropriate conditions prevail.
一般认为，形成复杂的动脉粥样硬化斑块需要数十年时间。然而，本病例对这一观点提出了挑战。该病例描述了一名高脂血症患者，在冠状动脉搭桥手术成功后不到4年，死于静脉移植物动脉粥样硬化。虽然与天然冠状动脉相比，自体冠状动脉静脉移植物中的动脉粥样硬化形成可能会加速，但本病例表明，如果存在适当条件，复杂的动脉粥样硬化可能在短短几年内就会发展。
