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頁籤選單縮合
題 名 | Coronary Artery Aneurysms in a Young Patient with Acute Myocardial Infarction: A Case Report=年輕型急性心肌梗塞與冠狀動脈瘤--病例報告 |
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作 者 | 蘇河名; 溫文才; 謝炯昭; 邱肇基; 林宗憲; 賴文德; 許勝雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 20:8 2004.08[民93.08] |
頁 次 | 頁399-403 |
分類號 | 415.3161 |
關鍵詞 | 急性心肌梗塞; 冠狀動脈瘤; 川崎病; Acute myocardial infarction; Coronary artery aneurysm; Kawasaki disease; |
語 文 | 英文(English) |
中文摘要 | 冠狀動脈瘤並非罕見,它們通常是動脈粥狀硬化所造成,但也可能是先天性的,或是因冠狀動脈受傷、剝離、感染、或發炎後所產生,另外也有可能是川崎病的後遺症所引起。這裡,我們報告一位 25 歲的年輕男性因急性心肌梗塞而住院。他除了抽煙外無其他動脈硬化的危險因子。冠狀動脈攝影顯示三條冠狀動脈疾病,冠狀動脈瘤和冠狀動脈擴張。他之後接受成功的冠狀動脈繞道手術治療。根據他的病史、抽血檢查和冠狀動脈攝影的結果,我們高度地懷疑他的冠狀動脈瘤和冠狀動脈擴張是因其小時後感染川崎病的後遺症所致。這也提醒我們川崎病的患者可能罹患年輕型的心肌梗塞。 |
英文摘要 | Coronary artery aneurysms are not uncommon. They are usually arteriosclerotic in origin, and may be congenital or secondary to injury, dissection, infection, inflammation, or Kawasaki disease (KD). Herein, we report a case involving a 25-year-old male smoker with acute myocardial infarction (AMI). Coronary angiography showed triple-vessel disease, coronary artery aneurysms, and diffuse ectasia. Coronary artery bypass grafting was performed without complications. Based on his history, serologic examinations, and angiographic findings, we suspected that his coronary artery aneurysms and ectasia were the adult sequelae of KD. This case is a good reminder that KD victims may suffer from young-onset AMI. |
本系統中英文摘要資訊取自各篇刊載內容。