作者：高中山，任明，陈珍珍，马玉兰

单位：

1.810000 青海省西宁市，青海大学 2.810000 青海省西宁市，青海大学附属医院心血管内科 通信作者：马玉兰，E-mail：mylfamai@163.com

Units：

1.Qinghai University, Xining 810000, China 2.Department of Cardiology, Qinghai University Affiliated Hospital, Xining 810000, China Corresponding author: MA Yulan, E-mail: mylfamai@163.com

关键词：

主动脉瘤; 心肌梗死; 左主干病变; 主动脉瓣狭窄;

Keywords：

Aortic aneurysm; Myocardial infarction; Left main artery disease; Aortic valve stenosis

CLC：

DOI：

10.12114/j.issn.1008-5971.2021.00.293

Funds：

青海省科技计划项目（2018-ZJ-934Q）；国家自然科学基金地区科学基金项目（81760084）

摘要：

主动脉瘤指各种病因导致主动脉扩张或膨出并达到正常管径的1.5倍以上,多数患者无明显症状,仅少数患者出现不典型症状,极易漏诊。主动脉瘤致急性心肌梗死的症状与左主干病变致急性心肌梗死相似,二者极易混淆。本文报道了1例以胸痛为首发症状的主动脉瘤致急性心肌梗死患者,以期为临床诊疗提供参考。

Abstract：

【Abstract】 Aortic aneurysm refers to the dilatation or bulging of aorta caused by various causes and reaching more than1.5 times of normal diameter. Since most patients have no obvious symptoms, and only few patients have atypical symptoms, whichis easy to miss diagnosis. The symptoms of acute myocardial infarction caused by aortic aneurysm are similar to those caused byleft main artery disease, and they are easily confused. This article reports a case of acute myocardial infarction caused by aorticaneurysm with chest pain as the first symptom, in order to provide a reference for clinical diagnosis and treatment of the disease.

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