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巨大冠状动脉假性动脉瘤。冠状动脉搭桥术后五年随访。

Giant coronary pseudoaneurysm. Five-year follow-up after bypass grafting.

作者信息

Chun P K, Davia J E, Cheitlin M D, Green D C, Bowen T E, Brott W H

出版信息

J Thorac Cardiovasc Surg. 1981 Jan;81(1):92-5.

PMID:6969827
Abstract

A roentgenogram of the shoulder in a 25-year-old man with an athletic injury revealed a large mass along the left heart border. Evaluation with coronary arteriography established the diagnosis of a massive aneurysm of the left anterior descending coronary artery. The aneurysm was excised and a saphenous vein bypass graft was placed into the distal artery. Histologic examination revealed that the excised segment was a false aneurysm. Five years postoperatively, the patient is asymptomatic and the graft remains widely patent.

摘要

一名25岁因运动损伤导致肩部疼痛的男性患者的X线片显示,左心缘有一巨大肿块。冠状动脉造影评估确诊为左前降支冠状动脉巨大动脉瘤。切除动脉瘤后,将一段大隐静脉移植到远端动脉。组织学检查显示切除的节段为假性动脉瘤。术后5年,患者无症状,移植血管仍通畅。

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