How to differentiate congenital coronary artery aneurysm?

summary

Congenital coronary artery aneurysm consultation is rare. Paekard reported the disease for the first time. It can happen in infants and even adults. Congenital coronary artery aneurysms account for only 15% of coronary artery aneurysms. Other causes of coronary artery aneurysms included atherosclerosis, fungal or syphilis infection, rheumatism, and submucosal lymph node syndrome (Kawasaki disease). Let's share my experience with you.

How to differentiate congenital coronary artery aneurysm?

Most children with congenital coronary artery aneurysms have no professional symptoms if they have no complications. Common complications include myocardial ischemia, infarction and rupture of aneurysm caused by thrombus or embolism. Individual patients may have systolic or diastolic murmurs. X-ray occasionally showed aneurysm like protrusion and calcification of aneurysm wall. Fortunately, echocardiography and Doppler are helpful this year. Successful coronary angiography is of great significance in the diagnosis of too little lunch and the guidance of the doctor.

Indications: it is generally believed that congenital coronary artery aneurysms may have the impatience of severe complications, so once diagnosed, it should be actively treated with chemotherapy and surgery.

Surgical methods: according to the situation, aneurysm resection, great saphenous vein implantation or coronary artery bypass grafting should be used directly. In the former, the expensive tumor was removed under cardiopulmonary bypass, and the coronary artery was reconstructed by inverting the great saphenous vein to the proximal and distal end of the coronary artery. In the latter, great saphenous vein bypass grafting was performed at the beginning of the aorta and the distal end of the aneurysm, and the coronary artery was ligated at the proximal end of the anastomosis to prevent thrombosis in the aneurysm.

matters needing attention

In the diet must also control the salt intake, do not eat spicy food such as coffee, strong tea, you can eat more cereals such as cereals, oats or soybeans, you can drink more water or milk, but do not drink carbonated drinks.