Massive coronary artery aneurysm with acute myocardial infarction

Martin G. Hiscock MB, BCH, Victor S. Wayne MBBS, FRACP, Gil Shardey MBBS, FRACS
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Abstract

An elderly man presenting with acute inferior myocardial infarction had a giant right coronary artery aneurysm which was identified at angiography. The patient was successfully treated with emergency coronary bypass surgery after failure of medical therapy. The case was remarkable for the large size of the aneurysm and the rather dramatic presentation. With improvement in clinical recognition of this problem, the natural history, prognosis and appropriate therapy may become better defined.

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大面积冠状动脉瘤伴急性心肌梗死
一位老年男性表现为急性下壁心肌梗死,在血管造影中发现了巨大的右冠状动脉动脉瘤。在药物治疗失败后,患者成功地接受了紧急冠状动脉搭桥手术。该病例因其巨大的动脉瘤和相当戏剧性的表现而引人注目。随着临床对这一问题认识的提高,自然病史、预后和适当的治疗可能会变得更好。
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