冠状动脉瘤的外科治疗  

Surgical treatment of coronary artery aneurysm

作　　者：吴清玉[1] 李巅远[1] 胡盛寿[1] 潘世伟[1] 吕锋[1] 

机构地区：[1]中国医学科学院中国协和医科大学心血管病研究所阜外医院心血管外科,北京100037

出　　处：《中华外科杂志》2002年第5期351-353,I001,共4页Chinese Journal of Surgery

摘　　要：目的　介绍冠状动脉瘤的临床表现及治疗经验。　方法　 1996年 10月～ 2 0 0 0年 5月 ,对 6例患者行冠状动脉瘤手术 ,3例为川崎病 ,3例为冠状动脉瘘 ;均行冠状动脉旁路移植术 ,3例冠状动脉瘘患者同时切除冠状动脉瘤 ,修补冠状动脉瘘口 ,1例行主动脉瓣置换术。　结果　 6例患者无住院死亡和严重并发症 ,随访无异常。　结论　冠状动脉瘤是一较为罕见的心脏病 ,预后差 ,应尽早手术治疗。手术原则是切除冠状动脉瘤 。Objective To describe the diagnosis and surgical management of coronary artery aneurysm. Methods Between October 1996 and May 2000, 6 patients with coronary artery aneurysm underwent surgical treatment. Of these patients, 3 had Kawaski disease and 3 coronary artery fistula. All patients underwent coronary artery bypass grafting. Three patients had aneurysms resected and fistulous ostium closed. One patient received aortic valve replacement. Results There were no deaths and later death, nor major complications during the hospital stay. The results of follow up were satisfactory. Conclusions Coronary artery aneurysm is rare and its prognosis is poor. Early diagnosis and operation are necessary. The aneurysm should be resected, the coronary artery should be bypassed, and other associated diseases should be treated properly.

关 键 词：冠状动脉瘤 临床表现 手术治疗 影像学诊断 冠状动脉旁路移植术 

分 类 号：R654.3[医药卫生—外科学]