雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Case of Angina Pectoris associated with a Rapidly Progressive New Stenotic Lesion Distal to a Coronary Aneurysm caused by Percutaneous Coronary Angioplasty Performed Nine Years Previously Toru Kitaoka 1 , Yuji Ogawa 1 , Takahiro Shiokoshi 1 , Junichi Kato 1 , Takuji Hayakawa 2 , Hajime Honda 2 , Hirosato Doi 3 , Kenjiro Kikuchi 4 1Division of Cardiology, Asahikawa Kosei Hospital 2Division of Cardiolgoy, Engaru Kosei Hospital 3Cardio-vascular Center, Hokkaido Ohno Hospital 4First Department of Internal Medicine, Asahikawa Medical College Keyword: 冠動脈瘤 , 急速進行 , 狭心症 , coronary aneurysm , rapid progression , angina pectoris pp.1071-1077
Published Date 2004/10/1
DOI https://doi.org/10.11477/mf.1404100557
  • Abstract
  • Look Inside

Summary

 A 63-year-old man was admitted to our hospital because of recurrence of angina. Nine years previously,he underwent percutaneous coronary balloon angioplasty for a stenotic lesion in LAD #6 proximal in another hospital. Three months after angioplasty,re-stenosis was not noticed angiographically. After that,he discontinued going to the hospital,and received no medical treatment. In our hospital,coronary angiography revealed a giant coronary aneurysm in the previously treated lesion. Once again,he was given medical treatment for anti-coagulation,anti-platelet and hyperlipidemia by a statin. Three months later,coronary angiography revealed a new stenotic lesion in the distal section of the coronary aneurysm,but stress myocardial scintigraphy showed no myocardial ischemia. Seven months later,coronary angiography showed rapid progression of the stenotic lesion from 60% to 90%. The patient selected CABG and resection of the aneurysm rather than percutaneous coronary intervention,and the operation was performed successfully. In this period,the serum lipid level was controlled very well. Nevertheless,a new stenotic lesion appeared and progressed rapidly. It was suggested that the presence of the giant aneurysm influenced the rapid progression of coronary plaque by the abnormality of the coagulation system and shear stress.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

関連文献

もっと見る

文献を共有