Shin P, Minamino T, Onishi S, Kitamura H
Acta Pathol Jpn. 1982 Jul;32(4):713-24. doi: 10.1111/j.1440-1827.1982.tb02073.x.
This paper reports two cases of coronary dissecting aneurysms of the heart. These were found among 45 consecutive autopsy cases with cardiac diseases from January, 1978 to April, 1981. The first case, a 60-year-old woman, revealed dissecting aneurysm involving the aorta and three main coronary arteries in association with cystic medial necrosis. The second case, a 55-year-old man, revealed dissecting hematoma limited to the right coronary artery without any presumptive causal lesion to the dissection. The dissections could not be identified by either clinically or even macroscopic examinations of the autopsy materials. It is likely that the dissecting coronary aneurysm is not so uncommon nor fatal lesion as previously thought. Considerable number of the cases would be concealed in those of sudden death not autopsied or carelessly autopsied, or in those survived myocardial infarction not angiographied.
本文报告了两例心脏冠状动脉夹层动脉瘤病例。这些病例是在1978年1月至1981年4月期间连续45例心脏病尸检病例中发现的。第一例为一名60岁女性，显示夹层动脉瘤累及主动脉和三条主要冠状动脉，并伴有囊性中层坏死。第二例为一名55岁男性，显示仅局限于右冠状动脉的夹层血肿，且无任何可推测的夹层病因病变。无论是临床检查还是尸检材料的大体检查均未发现这些夹层病变。冠状动脉夹层动脉瘤可能并非如之前所认为的那样罕见或致命。相当一部分病例可能隐匿于未进行尸检或尸检不仔细的猝死病例中，或者隐匿于未进行血管造影的心肌梗死存活病例中。
