Koroner arterlerde çoklu dev anevrizma olgusu

Öz

Koroner arter anevrizmaları koroner arterlerin anormal genişlemesidir. Etiyolojisi hala tam olarak anla-şılamamıştır. Genellikle asemptomatiktir ve tesadüfen teşhis edilir. Semptomatik hastalarda aritmiler, kararsız angina, miyokard enfarktüsü veya ani kardiyak ölüm görülebilir. Tanıda invaziv ve noninvaziv vasküler görüntüleme teknikleri kullanılır. İnvaziv bir görüntüleme yöntemi olan konvansiyonel koro-ner anjiyografi altın standart olarak kabul edilir. Koroner bilgisayarlı tomografi anjiyografi, anevrizma boyutunun ve yerinin doğru bir şekilde değerlendirilmesini sağlayan noninvaziv bir yöntemdir. Tedavi seçenekleri arasında cerrahi yaklaşım, perkütan koroner girişim ve tıbbi tedavi yer alır. Ancak sınırlı literatür bilgisi nedeniyle, klinisyenlerin koroner arter anevrizması olan hastalara nasıl yaklaşmaları gerektiği hala belirsizdir.Bu yazıda, iki koroner arterde tespit edilen çoklu dev koroner arter anevrizma olgusunu, koroner bilgisayarlı tomografi anjiyografi bulgularıyla birlikte sunmayı amaçladık.

Anahtar Kelimeler

• Koroner anevrizması
• Koroner anjiyografi
• Tomografi

Multiple giant aneurysm in coronary arteries

Öz

Coronary artery aneurysms are abnormal dilatation of the coronary arteries. The etiology is still not fully understood. They are usually asymptomatic and diagnosed incidentally. Arrhythmias, unstable angina, myocardial infarction or sudden cardiac death may occur in symptomatic patients. Invasive and noninvasive vascular imaging techniques are used in diagnosis. Conventional coronary angiography, an invasive imaging method, is considered as the gold standard. Coronary computed tomography angiography is a noninvasive method that enables accurate assessment of aneurysm size and location. Treatment options include surgical approach, percutaneous coronary intervention and medical treatment. However, due to limited literature information, it is still unclear for clinicians how to approach patients with coronary artery aneurysm. In this article, we aimed to present a case of multiple giant coronary artery aneurysms detected in two coronary arteries, together with Coronary computed tomography angiography findings.

Anahtar Kelimeler

• Coronary aneurysms
• Coronary angiography
• Tomography

Kaynakça

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