Nobrega T P, Klodas E, Breen J F, Liggett S P, Higano S T, Reeder G S
Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Cathet Cardiovasc Diagn. 1996 Sep;39(1):75-9. doi: 10.1002/(SICI)1097-0304(199609)39:1<75::AID-CCD16>3.0.CO;2-N.
A 26-year-old woman with systemic lupus erythematosus and end-stage renal disease presented for renal transplantation. She had no findings of cardiac disease. Radiologic evaluation, cardiac magnetic resonance imaging, and coronary angiography showed giant aneurysms of the right and left anterior descending coronary arteries. Despite therapy, acute anterior myocardial infarction developed during follow-up. Giant coronary artery aneurysms associated with systemic lupus erythematosus are unusual and their management is controversial. Antithrombotic therapy probably should be considered for giant coronary artery aneurysms.
一名患有系统性红斑狼疮和终末期肾病的26岁女性前来接受肾移植。她没有心脏病的相关表现。影像学评估、心脏磁共振成像和冠状动脉造影显示左、右冠状动脉前降支存在巨大动脉瘤。尽管进行了治疗，但在随访期间仍发生了急性前壁心肌梗死。与系统性红斑狼疮相关的巨大冠状动脉动脉瘤并不常见，其治疗存在争议。对于巨大冠状动脉动脉瘤可能应考虑抗血栓治疗。
