Aneurysmen, Ektasien und Megalokranzarterien


Gefäßerweiterungen im Koronarangiogramm
Vessel dilatation in coronary
angiograms
L. Hinterauer, N. Goebel
Röntgendiagnostisches Zentralinstitut (Direktor: Prof. Dr. J.
Wellauer), Universitätsspital Zürich

Zusammenfassung

Unter 166 Patienten mit einem Aneurysma, einer Ektasie oder
Megalokranzarterie im Koronarangiogramm hatten 86,1 % Gefäßerweiterungen im
Rahmen einer Koronarsklerose (am häufigsten bei 3-Gefäß-Erkrankung), bei 9 %
waren sie iatrogen bedingt, bei 4,8 % idiopathisch. 1 Patient hatte ein
Marfan-Syndrom. Unter 9000 Patienten fanden sich 8 mit Megalokranzarterien ohne
relevante Stenose. 6 von ihnen hatten atypische Angina pectoris, 3 machten einen
Infarkt durch. Patienten mit deutlichen Koronarerweiterungen und
Kontrastmittelstagnation sollten eine Therapie erhalten.

Summary

Amongst 166 patients with aneurysms, ectasia or megaloarteries shown on
coronary angiograms, 86.1 % had dilated vessels as part of generalised coronary
sclerosis (usually in patients with three-vessel disease). In 9 %, dilatation
was of iatrogenic origin and in 4.8 % it was idiopathic. One patient had
Marfan’s syndrome. Amongst 9 000 patients, there were eight with megalo-arteries
without stenosis; six of these had atypical angina and three suffered an
infarct. Patients with definite dilatation of the coronary artery and stagnation
of contrast flow required treatment.

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Über hinterauer

Pensionated Radiologist, interested in Green Chemistry, Technology, Environment and Share | var addthis_config = {"data_track_clickback":true}; nce.
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11 Antworten zu Aneurysmen, Ektasien und Megalokranzarterien

  1. hinterauer schreibt:

    Poor results in the life-tabels are the main feature of this disease.

  2. hinterauer schreibt:

    Further publication in cardioradiology:

    [Sinus of Valsalva aneurysm with subannular rupture into the left ventricle, compression of the left coronary artery and recurrent pericarditis].

    [Article in German]

    Hinterauer L, Furger F, Steinbrunn W, Goebel N, Turina M.

    PMID: 6212492 [PubMed – indexed for MEDLINE]

  3. hinterauer schreibt:

    Sinus-Valsalvae-Aneurysma mit subanulärer Ruptur in den linken Ventrikel, Kompression der linken Kranzarterie und rezidivierender Perikarditis

    L. Hinterauer, F. Furger, W. Steinbrunn, N. Goebel, M. Turina
    Röntgendiagnostisches Zentralinstitut (Direktor: Prof. Dr. J. Wellauer), Medizinische Klinik (Direktoren: Prof. Dr. P. Frick, Prof. Dr. A. Labhart) und Chirurgische Klinik A (Direktor: Prof. Dr. Å. Senning) Universitätsspital Zürich

    Auf Deutsch.

  4. hinterauer schreibt:

    Echocardiography
    – [ Diese Seite übersetzen ]
    ID: 97350213 TITLE: Repair of a ruptured sinus of Valsalva aneurysm. …… of the left coronary artery and recurrent pericarditis] AUTHOR: Hinterauer L; …
    Once more the same author in Cardioradiology

  5. hinterauer schreibt:

    Rofo. 1984 Feb;140(2):121-7.

    [Aneurysm of the membranous septum. Angiocardiographic study].

    [Article in German]

    Goebel N, Haller D, Hinterauer L, Jenni R.

    Abstract

    Amongst 9000 patients on whom angiocardiograms had been carried out, a membranous septum aneurysm (MSA) was found in 47. In nine patients out of 27 the MSA could be demonstrated by sonography. The most common abnormalities accompanying this lesion were disturbances in rhythm and conduction (in 29 patients), ventricular septal defect in 29 and aortic insufficiency in 14. Complications included bacterial endocarditis in five patients (three with aortic insufficiency and two with sepsis lenta), aortic insufficiency (which was not of rheumatic or bacterial origin in three patients with conduction defects) and thirteen patients with abnormalities of cardiac rhythm with small VSDs.

    PMID: 6420275 [PubMed – indexed for MEDLINE]

    Publication Types, MeSH Terms

    Rofo. 1984 Feb;140(2):121-7.

    [Aneurysm of the membranous septum. Angiocardiographic study].

    [Article in German]

    Goebel N, Haller D, Hinterauer L, Jenni R.

    Abstract

    Amongst 9000 patients on whom angiocardiograms had been carried out, a membranous septum aneurysm (MSA) was found in 47. In nine patients out of 27 the MSA could be demonstrated by sonography. The most common abnormalities accompanying this lesion were disturbances in rhythm and conduction (in 29 patients), ventricular septal defect in 29 and aortic insufficiency in 14. Complications included bacterial endocarditis in five patients (three with aortic insufficiency and two with sepsis lenta), aortic insufficiency (which was not of rheumatic or bacterial origin in three patients with conduction defects) and thirteen patients with abnormalities of cardiac rhythm with small VSDs.

    PMID: 6420275 [PubMed – indexed for MEDLINE]

    Publication Types, MeSH Terms

    Rofo. 1984 Feb;140(2):121-7.

    [Aneurysm of the membranous septum. Angiocardiographic study].

    [Article in German]

    Goebel N, Haller D, Hinterauer L, Jenni R.

    Abstract

    Amongst 9000 patients on whom angiocardiograms had been carried out, a membranous septum aneurysm (MSA) was found in 47. In nine patients out of 27 the MSA could be demonstrated by sonography. The most common abnormalities accompanying this lesion were disturbances in rhythm and conduction (in 29 patients), ventricular septal defect in 29 and aortic insufficiency in 14. Complications included bacterial endocarditis in five patients (three with aortic insufficiency and two with sepsis lenta), aortic insufficiency (which was not of rheumatic or bacterial origin in three patients with conduction defects) and thirteen patients with abnormalities of cardiac rhythm with small VSDs.

    PMID: 6420275 [PubMed – indexed for MEDLINE]
    Rusults in the same number of patients.

    LinkOut – more resources

  6. hinterauer schreibt:

    DFG Nationallizenz: Ischämiereaktion bei einer jungen Frau…

    Hinterauer, L.. Gefäßerweiterungen im Koronarangiogramm In: RöFo. … Unter 166 Patienten mit einem Aneurysma, einer Ektasie oder Megalokranzarterie im … bei der ein aus dem linken Sinus Valsalvae des Pulmonalstammes entspringender …
    finden.nationallizenzen.de/…/ZDB-1-TCE@NLZ227297504 –

  7. hinterauer schreibt:

    A 32-year experience with surgical repair of sinus of valsalva aneurysms. …Ruptured sinus of Valsalva aneurysm in two patients with subarterial ventricular septal defect. … [My paper] L Hinterauer, N Goebel, A Grüntzig …
    lib.bioinfo.pl/paper:6420275

  8. hinterauer schreibt:

    [Heart luxation following pneumonectomy]
    – [ Diese Seite übersetzen ]
    A case report] [Mycotic aneurysm caused by Aspergillus of the aortic suture line after heart … [My paper] L Hinterauer, N Goebel … [Sinus of Valsalva aneurysm with subannular rupture into the left ventricle, compression of the left …
    lib.bioinfo.pl/paper:6425170 – Im Cache

  9. hinterauer schreibt:

    Aneurysma aortae abdominalis und Beinamputation: zufällige Koinzidenz …. Aneurysmatis sinus valsalvae exemplum, adiecta epicrisi et tabula aeri incisa: diss. … Hinterauer, Lorenz Zürich. Juris Dr. + Verl.. 1983. 96 S. : zahlr. Ill.. …
    http://www.bookmaps.de/lib/ruc/a/n/ane_50.html – Im Cache

  10. hinterauer schreibt:

    Diese Seite übersetzen ]
    Records 1 – 20 … Hinterauer, L.; Goebel, N.; Gruentzig, A. 1981-06-01 …… undergoing radiotherapy for mediastinal malignancy (twelve Morbus Hodgkin, ….. Kawasaki, H. Urabe, M. The release of 5-HT from vascular adrenergic nerves was …

  11. hinterauer schreibt:

    Huge left coronary artery aneurysm associated with multiple …
    – [ Diese Seite übersetzen ]
    von L Hinterauer – 1985 – Zitiert durch: 6 – Ähnliche Artikel
    Lorenz Hinterauer, Hans Roelli, Norbert Goebel, Walter Steinbrunn, and ,~ke Senning …. capsulated pleuro-mediastinal or pericardial effu- …
    http://www.springerlink.com/index/H616442737M01614.pdf
    Another rare case.

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