Velasco M, Zamorano J L, Almería C, Ferreiros J, Alfonso F, Sánchez-Harguindey L
Servicio de Cardiología, Hospital Clínico de San Carlos, Madrid.
Rev Esp Cardiol. 1999 Jan;52(1):55-8. doi: 10.1016/s0300-8932(99)74868-2.
Coronary aneurysms are uncommon. The most frequent etiologies are atherosclerotic and congenital, although there are several other rare causes. Myocardial infarction and sudden death may be the initial manifestations which are usually a consequence of aneurysm complications such as rupture or distal embolization. Although coronariography is the gold standard diagnostic technique, coronary aneurysm may also be detected by non-invasive methods such as ultrasonography and nuclear magnetic resonance. We report the case of a young male with hypercholesterolemia who presented cardiac arrest as the first clinical manifestation. Ultrasonography and MRI revealed the presence of multiple coronary aneurysm. This case illustrates the usefulness of non-invasive techniques for the diagnosis of coronary aneurysm.
冠状动脉瘤并不常见。最常见的病因是动脉粥样硬化和先天性的,不过还有其他一些罕见病因。心肌梗死和猝死可能是最初的表现,这通常是动脉瘤并发症(如破裂或远端栓塞)的结果。尽管冠状动脉造影是金标准诊断技术,但冠状动脉瘤也可以通过超声检查和核磁共振等非侵入性方法检测出来。我们报告了一例高胆固醇血症年轻男性病例,其最初临床表现为心脏骤停。超声检查和核磁共振显示存在多个冠状动脉瘤。该病例说明了非侵入性技术在诊断冠状动脉瘤方面的作用。