Diagnostic features of coronary artery aneurysm and analysis of the curative effect of embolization with gelatin sponge particles
Li Qingwen1, Li Chuanfang2, Gan Lijun2
1College of Clinical Medicine, Jining Medical University, Jining 272013, China； 2Department of Cardiovascular Medicine, Affiliated Hospital of Jining Medical University, Jining 272029, China
Abstract：ObjectiveTo investigate the diagnostic characteristics of coronary artery aneurysms (CAA) and analysis of the effect of embolization with gelatin sponge particles in the treatment of CAA. MethodsThe clinical data of a patient with coronary artery disease (post-coronary stent implantation) and CAA admitted to the Cardiology Department, Affiliated Hospital of Jining Medical University on March 4, 2020 was retrospectively analyzed, and the diagnostic features of CAA and the efficacy of embolization with gelatin sponge particles were summarized and analyzed. ResultsA 56-year-old female who was admitted to the hospital for "paroxysmal chest pain for more than 6 years, exacerbated for 6 days". The patient had previously undergone percutaneous coronary intervention. Six days before admission, the patient manifested chest pain recurring during physical activity, which was a dull pain behind the breastbone lasting for 5-6 minutes each episode, accompanied by back radiating pain and sweating. Symptoms were obvious when the amount of activity was large and could be relieved by a few minutes of rest. The acute coronary syndrome was proposedly diagnosed. The patient′s coronary angiography revealed subtotal occlusion of the stent in the first diagonal branch, and a 0.67cm×0.42cm sachike CAA was formed near the stent. Embolization of coronary aneurysm with gelatin sponge particles had a satisfactory therapeutic effect. ConclusionsThe "gold standard" for diagnosing and evaluating CAA is coronary angiography. Embolization with gelatine sponge particles for CAA has certain enlightening significance.
李青文 李传方 甘立军. 冠状动脉瘤的诊断学特征及明胶海绵颗粒栓塞治疗的疗效分析[J]. 中华诊断学电子杂志, 2022, 10(2): 94-98.
Li Qingwen1, Li Chuanfang2, Gan Lijun2. Diagnostic features of coronary artery aneurysm and analysis of the curative effect of embolization with gelatin sponge particles. zhzdx, 2022, 10(2): 94-98.
