Gibson W G, Reimer K A
Arch Pathol Lab Med. 1980 Aug;104(8):419-21.
A 70-year-old man died of alcoholic cirrhosis and long-standing pulmonary emphysema. Multiple independent dissecting aneurysms involved the distal epicardial branches of the right and left coronary arteries, but spared their proximal trunks. These dissections extended distally from vascular branch points in association with acute and chronic medionecrosis. Iatrogenic trauma superimposed on preexisting medial weakness may have accounted for what is, to our knowledge, a unique presentation of a rare condition.
一名70岁男性死于酒精性肝硬化和长期肺气肿。多个独立的夹层动脉瘤累及右冠状动脉和左冠状动脉的心外膜远端分支，但未累及近端主干。这些夹层从血管分支点向远端扩展，伴有急性和慢性中层坏死。医源性创伤叠加在先前存在的中层薄弱之上，可能是导致了据我们所知一种罕见疾病的独特表现。
