冠状动脉瘤的诊断与治疗

冠状动脉瘤是一种少见的心脏病 ,凡能导致冠状动脉中层结构和功能削弱的因素 ,均可导致冠状动脉瘤的形成。因此 ,其临床表现不具有特异性 ,与单纯冠状动脉狭窄患者的临床表现相似。目前虽然有多种方法可明确诊断 ,但冠状动脉造影仍为诊断该病的主要方法 ,其作用不可替代。冠状动脉瘤易发生血栓、栓塞、瘤体破裂和血管痉挛等并发症 ,预后差 ,应尽早治疗。手术治疗较药物治疗、介入治疗疗效明确 ,手术原则是切除冠状动脉瘤 ,行冠状动脉旁路移植术 ,并同时处理合并的病变。

The Diagnoses and Treatments of Coronary Artery Aneurysm

Coronary artery aneurysm is a rare cardiac disease.Any pathogenic factor leading to weakness of the middle layer structure and function may lead to formation of coronary artery aneurysm. Therefore, its clinical manifestations are nonspecific, and there is no difference in the clinical manifestations of patients with simple coronary stenosis. Although many methods can make the definite diagnosis of the disorder, coronary arteriongraphy is main method in diagnosis of coronary artery aneurysm, the effect of coronary arteriongraphy is irreplaceable. Coronary artery aneurysm may lead to complications, such as thrombosis, embolism, rupture of aneurysm, and vascular spasm with very poor prognosis. Hence, it should be treated at the earliest opportunity. The therapeutic effect of surgical treatment is relatively better than medicated treatment and interventional treatment. The surgical principle is removal of coronary artery aneurysm with coronary artery bypass grafting and taking care of the merged lesion.