Aterosklerozun Eşlik Ettiği Dev Sol Ön İnen Arter Anevrizması

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Giant Left Anterior Descending Artery Aneurysm Accompanied by Atherosclerosis

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  • 1. Syed M, Lesch M. Coronary artery aneurysm: a review. Prog Cardiovasc Dis 1997;40:77-84.
  • 2. Hoşcan Y, Doğan A, Altinbaş A. A case of left main coronary artery aneurysm associated with severe stenosis of left anterior descending artery. [Article in Turkish] Anadolu Kardiyol Derg 2004;4:274.
  • 3. Krüger D, Stierle U, Herrmann G, Simon R, Sheikhzadeh A. Exercise-induced myocardial ischemia in isolated coronary artery ectasias and aneurysms (dilated coronopathy). J Am Coll Cardiol 1999;34:1461-70.
  • 4. Nichols L, Lagana S, Parwani A. Coronary artery aneurysm: a review and hypothesis regarding etiology. Arch Pathol Lab Med 2008;132:823-8.
  • 5. Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia. Its prevalence and clinical significance in 4993 patients. Br Heart J 1985;54:392-5.
  • 6. Berkoff HA, Rowe GG. Atherosclerotic ulcerative disease and associated aneurysms of the coronary arteries. Am Heart J 1975;90:153-8.
  • 7. Alford WC Jr, Stoney WS, Burrus GR, Frist RA, Thomas CS Jr. Recognition and operative management of patients with arteriosclerotic coronary artery aneurysms. Ann Thorac Surg 1976;22:317-21.
  • 8. Satran A, Bart BA, Henry CR, Murad MB, Talukdar S, Satran D, et al. Increased prevalence of coronary artery aneurysms among cocaine users. Circulation 2005;111:2424-9.
  • 9. Sarıoğlu A, Saltık L, Arısoy N, Ali Ertugrul A. Kawasaki sendromuna bağlı koroner arter anevrizmaları. Göğüs Kalp Damar Cerrahisi Dergisi 1991;1:49-52.
  • 10. Murthy PA, Mohammed TL, Read K, Gilkeson RC, White CS. MDCT of coronary artery aneurysms. AJR Am J Roentgenol 2005;184:19-20.
  • 11. Chia HMY, Tan KH, Jackson G. Non-atherosclerotic coronary artery aneurysms: two case reports. Heart 1997;78:613-16.
  • 12. Otsuka M, Minami S, Hato K, Suto Y, Kajiwara K, Yamagishi H, et al. Acute myocardial infarction caused by thrombotic occlusion of a coronary arteryaneurysm. Cathet Cardiovasc Diagn 1997;41:423-5.
  • 13. Altinbaş A, Acar G, Aslan SM. Giant left main coronary aneurysm with coronary artery ectasia. [Article in Turkish] Anadolu Kardiyol Derg 2005;5:79-80.
  • 14. Aintablian A, Hamby RI, Hoffman I, Kramer RJ. Coronary ectasia: incidence and results of coronary bypass surgery. Am Heart J 1978;96:309-15.
  • 15. Gündüz H, Akdemir R, Binak E, Tamer A, Uyan C. Spontaneous rupture of a coronary artery aneurysm. Jpn Heart J 2004;45:331-6.
  • 16. Coronary artery aneurysm rupture mimicking dissection of the thoracic aorta. Int J Cardiol 1998;65:115-7.
  • 17. Hirsch GM, Casey PJ, Raza-Ahmad A, Miller RM, Hirsch KJ. Thrombosed giant coronary artery aneurysm presenting as an intracardiac mass. Ann Thorac Surg 2000;69:611-3.
Koşuyolu Heart Journal-Cover
  • ISSN: 2149-2972
  • Yayın Aralığı: 3
  • Başlangıç: 1990
  • Yayıncı: Ali Cangül
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