期刊
TEXAS HEART INSTITUTE JOURNAL
卷 41, 期 6, 页码 603-608出版社
TEXAS HEART INST
DOI: 10.14503/THIJ-13-3896
关键词
Angina pectoris; angina, unstable; aneurysm, false; aneurysm, dissecting/diagnosis/etiology/therapy; anticoagulants/preventive use; coronary aneurysm/diagnosis/radiography/therapy/ultrasonography; coronary angiography; dilatation, pathologic; radiography, thoracic; stents; thromboembolism; tomography, x-ray computed; ultrasonography, interventional
Giant coronary artery aneurysms are rare, with a reported prevalence of 0.02% to 0.2%. Causative factors include atherosclerosis, Takayasu arteritis, congenital disorders, Kawasaki disease, and percutaneous coronary intervention. Most giant coronary artery aneurysms are asymptomatic, but some patients present with angina pectoris, sudden death, fistula formation, pericardial tamponade, compression of surrounding structures, or congestive heart failure. Clinical sequelae include thrombus formation, embolization, fistula formation, and rupture. Surgical correction is generally accepted as the preferred treatment for giant coronary artery aneurysms. We present an illustrative case of a giant 70 x 40-mm coronary artery aneurysm in a 56-year-old man who declined surgery and died one month later. In addition, we provide a review of the medical literature on giant coronary artery aneurysms.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据