Diagnostic features of coronary artery aneurysm and analysis of the curative effect of embolization with gelatin sponge particles

doi:10.3877/cma.j.issn.2095-655X.2022.02.005

Abstract

Abstract:

Objective

To 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.

Methods

The 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.

Results

A 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 0.67 cm×0.42 cm sachike CAA was formed near the stent. Embolization of coronary aneurysm with gelatin sponge particles had a satisfactory therapeutic effect.

Conclusions

The " gold standard" for diagnosing and evaluating CAA is coronary angiography. Embolization with gelatine sponge particles for CAA has certain enlightening significance.

Key words: Coronary artery aneurysm, Coronary angiography, Gelatin sponge particles, Embolism, Diagnosis

Qingwen Li, Chuanfang Li, Lijun Gan. Diagnostic features of coronary artery aneurysm and analysis of the curative effect of embolization with gelatin sponge particles[J]. Chinese Journal of Diagnostics(Electronic Edition), 2022, 10(02): 94-98.

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References 23

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