巨大冠状动脉瘤合并慢性完全闭塞病变一例
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摘要
<正>1 临床资料患者男性,66岁,因"反复胸闷3年余"于2018年5月8日入院。患者于2015年3月底开始反复出现阵发性胸骨后憋闷不适,每次持续约5～10 min,可自行缓解,发作频率3次/周至2次/d不等,多在劳累后出现,偶在夜间睡眠中出现,严重时伴有大汗、心悸,无胸痛,无放射痛。患者就诊我院心内科门诊,以"稳定性心绞痛"收入院。既往体健,否认高血压、糖尿病病史,否认烟酒史,无心脑血管疾病家族史。入院查体:体温36.7℃,心率78次/
引文
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[2] Crawley PD,Mahlow WJ,Huntsinger DR,et al.Giant coronary artery aneurysms:review and update [J].Tex Heart Inst J,2014,41(6):603-608.DOI:10.14503/THIJ-13-3896.
[3] Park H,Hong YJ,Ahn YK,et al.Multiple giant calcified aneurysms of three coronary arteries [J].Korean J Intern Med,2017,32(6):1101-1103.DOI:10.3904/kjim.2014.254.
[4] Nazareth J,Weinberg L,Fernandes J,et al.Giant right coronary artery aneurysm presenting with non-ST elevation myocardial infarction and severe mitral regurgitation:a case report [J].J Med Case Rep,2011,5:442.DOI:10.1186/1752-1947-5-442.
[5] Atik E,Kalil R Filho,Jatene F,et al.Case 6/2017 - Extensive Giant Left Coronary Artery Aneurysm Due to Kawasaki Vasculitis in Asymptomatic 48-Year-Old Man [J].Arq Bras Cardiol,2017,109(5):489-490.DOI:10.5935/abc.20170157.
[6] Yilmaz F,Aktemur T,Hakg?r A,et al.Case Image:Percutaneous approach to giant coronary artery aneurysm:successful implantation of covered stent graft [J].Turk Kardiyol Dern Ars,2018,46(1):76.DOI:10.5543/tkda.2017.89195.