Multiple Giant Coronary Artery Aneurysms

被引：3

作者：

Usuku, Hiroki ^{[1
,2
]}

Kojima, Sunao ^{[1
]}

Kuyama, Naoto ^{[1
]}

Hanatani, Shinsuke ^{[1
]}

Araki, Satoshi ^{[1
]}

Tsujita, Kenichi ^{[1
]}

Tsunoda, Ryusuke ^{[2
]}

Fukui, Toshihiro ^{[3
]}

Hokimoto, Seiji ^{[1
]}

机构：

[1] Kumamoto Univ, Grad Sch Med Sci, Dept Cardiovasc Med, Kumamoto, Japan

[2] Japanese Red Cross Kumamoto Hosp, Dept Cardiovasc Med, Kumamoto, Japan

[3] Kumamoto Univ, Grad Sch Med Sci, Dept Cardiovasc Surg, Kumamoto, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 15期

关键词：

giant coronary artery aneurysms; coronary artery rupture; KAWASAKI-DISEASE; ARTERIOVENOUS-FISTULA; DIAGNOSIS; THERAPY;

D O I：

10.2169/internalmedicine.56.8357

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 74-year-old man was admitted to our hospital with chest pain and dyspnea associated with ST elevation in leads II, III and aVF. An echocardiogram showed an enlarged mass lesion measuring nearly 80 mm. Coronary angiography showed two giant coronary artery aneurysms (CAAs) in the right coronary artery (RCA). CAAs were also seen in the left main trunk and left anterior descending artery. Computed tomography showed the CAA in the RCA was ruptured into the right atrium. We therefore diagnosed this patient with multiple CAAs, myocardial infarction and coronary artery rupture. He underwent successful surgical excision and coronary bypass surgery.

引用

页码：1973 / 1976

页数：4

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