[Advanced heart failure due to coronary aneurysms].

Ruth N Estupiñán-Paredes, Nelson L Moreno-Ruiz, Jeffrey Castellanos-Parada, Carlos A Arias-Barrera
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Abstract

We present the case of a 61 years old man with hypothyroidism, hypertension, type 2 diabetes mellitus, and ischemic cardiopathy, who was admitted with a diagnosis of non-ST elevation myocardial infarction. The coronary angiography describes coronary ectasia with giant aneurysm and slow flow in the right coronary and aneurysm with slow flow anterior descending coronary. The echocardiogram shows contractility disorders with severely decreased left ventricular ejection fraction (20%) despite optimal medical management. This case presents a patient with ischemic heart disease and advanced heart failure secondary to coronary aneurysm, the proposed optimal treatment was a heart transplant given the disease's progression.

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[冠状动脉瘤引起的晚期心力衰竭]。
我们报告了一例61岁的男性甲状腺功能减退症、高血压、2型糖尿病和缺血性心脏病患者,他被诊断为非ST段抬高型心肌梗死。冠状动脉造影描述冠状动脉扩张伴巨大动脉瘤和右冠状动脉血流缓慢,以及冠状动脉前降支血流缓慢。超声心动图显示,尽管进行了最佳的药物治疗,但收缩性疾病的左心室射血分数严重下降(20%)。本例患者患有缺血性心脏病和继发于冠状动脉瘤的晚期心力衰竭,考虑到疾病的进展,建议的最佳治疗方法是心脏移植。
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0.00%
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审稿时长
4 weeks
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