猝死病例三支血管，非动脉粥样硬化，弥漫性扩张和动脉瘤状冠状动脉扩张：尸检报告。

IF 2.3 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiovascular Pathology Pub Date : 2025-01-02 DOI:10.1016/j.carpath.2024.107714

Shatishraj Jothee , Zhao Peng Koo , Mary N. Sheppard , Tuan Minanoriah binti Tuan Muda

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引用次数: 0

摘要

动脉瘤性冠状动脉疾病（ACAD）可发生在一个或多个冠状动脉的局部扩张或一个或多个冠状动脉的弥漫性扩张型扩张。动脉粥样硬化仍然是这些动脉瘤最常见的原因，川崎病与亚洲人群有关。我们提出一个62岁的亚洲妇女谁突然死亡没有先前的症状。并接受了尸检。她的心脏显示心外膜冠状动脉弥漫性动脉瘤扩张，左冠状动脉主动脉有一个巨大的囊状动脉瘤。组织病理学显示动脉瘤壁内侧变性，无动脉粥样硬化或血管炎。根据对冠状动脉瘤病理原因的回顾，冠状动脉弥漫性扩张的原因可能是先前的血管炎，如川崎病。

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Sudden death in a case of triple-vessel, non-atherosclerotic, diffuse ectasia and aneurysmal dilatations of the coronary arteries: An autopsy report

Aneurysmal Coronary Artery Disease (ACAD) can occur as localized dilations of a segment of one or more coronary arteries or diffuse ectasia-type dilatations of one or more coronaries. Atherosclerosis remains the most common cause of these aneurysms, with Kawasaki Disease being implicated in the Asian population. We present a case of a 62-year-old Asian woman who dies suddenly with no prior symptoms. and underwent an autopsy. Her heart showed diffuse aneurysmal dilatations of the epicardial coronary arteries, with a giant saccular aneurysm of the left main coronary artery. Histopathology revealed medial degeneration of the aneurysmal wall with no evidence of atheroma or vasculitis. Following a review of the pathological causes of coronary aneurysms, it is likely that the cause of such diffuse dilatations of the coronaries could be previous vasculitis such as Kawasaki disease.

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来源期刊

Cardiovascular Pathology 医学-病理学

CiteScore

7.50

自引率

2.70%

发文量

审稿时长

18 days

期刊介绍： Cardiovascular Pathology is a bimonthly journal that presents articles on topics covering the entire spectrum of cardiovascular disease. The Journal''s primary objective is to publish papers on disease-oriented morphology and pathogenesis from clinicians and scientists in the cardiovascular field. Subjects covered include cardiovascular biology, prosthetic devices, molecular biology and experimental models of cardiovascular disease.