کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2964150 | 1178641 | 2011 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Spontaneous rupture of a giant coronary artery aneurysm causing cardiac tamponade: A case report Spontaneous rupture of a giant coronary artery aneurysm causing cardiac tamponade: A case report](/preview/png/2964150.png)
SummaryA 62-year-old woman with a history of dyslipidemia and hypothyroidism was referred to our institution with syncope. Cardiac tamponade due to spontaneous rupture of a 50-mm aneurysm of the coronary artery was diagnosed by transthoracic echocardiography, enhanced computed tomography, and coronary angiography. Emergency surgery was performed, and despite developing postoperative complications such as acute renal insufficiency, the patient was discharged from hospital without sequelae 89 days later. Histological findings revealed cystic media degeneration, but neither significant atherosclerotic changes nor inflammatory cell infiltration. Although coronary artery aneurysms are comparatively rare and generally asymptomatic, those over 30 mm in diameter are considered to be at increased risk of rupture. A coronary artery aneurysm of about 50 mm ruptured in our patient, supporting this view.
Journal: Journal of Cardiology Cases - Volume 3, Issue 3, June 2011, Pages e119–e122