无症状心肌梗死合并多发冠状动脉瘤1例。

M Fujimori, K Fukami, M Murooka, T Koeda, K Hiramori, H Tanaka, H Kimura
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引用次数: 0

摘要

一名36岁男子于1990年12月因在V1-3期心电图上观察到小R波而住院。病人小时候患过一个月的感冒和发烧。他没有心肌梗塞的症状或迹象。患者行选择性左、右冠状动脉造影,发现特异性冠状动脉瘤位于左旋冠状动脉和左前降支冠状动脉。左旋冠状动脉远端病变处的动脉瘤被血栓栓塞并充满许多毛细血管。右冠状动脉近端病变轻度扩张。冠状动脉造影显示右冠状动脉至左冠状动脉侧支血流良好。左心室造影显示左心室前壁运动为低动症。单次光电发射计算机断层扫描铊-201显像显示左心室前壁灌注缺损。在此基础上,我们诊断为川崎病所致的老年性心肌梗死。(摘要删节250字)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A case of asymptomatic myocardial infarction with multiple coronary aneurysms].

A 36-year-old man was hospitalized in December, 1990 because a small R wave was observed on his ECG in V1-3. The patient had suffered from a cold with fever for a month when he was a child. He had no symptoms or signs of myocardial infarction. The patient underwent selective right and left coronary angiography, which revealed specific coronary aneurysms in the left circumflex coronary artery and left anterior descending coronary artery. The aneurysm in the distal lesion of the left circumflex coronary artery was embolized by a thrombus and filled with many capillary arteries. The proximal lesion of the right coronary artery was slightly dilated. Good collateral flow from the right coronary artery to the left coronary artery was revealed by coronary angiography. Left ventriculograms were performed, and the anterior wall motion of the left ventricle was shown to the hypokinetic. A perfusion defect of the anterior wall of the left ventricle was revealed by Thallium-201 imaging with single photoemission computed tomography. Based on these findings, we diagnosed the patients' illness as old myocardial infarction caused by Kawasaki disease.(ABSTRACT TRUNCATED AT 250 WORDS)

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