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[Congenital coronary aneurysm. Report of two cases]
A Mokaddem1, K Selmi, H Kamoun
1Sevice de cardiologie, Hôpital Mongi Slim, La Marsa.
Insights
Congenital coronary aneurysms are rare but can lead to serious complications like myocardial infarction. Successful treatment involves aneurysm exclusion and coronary bypass surgery.
Area of Science:
- Cardiology
- Vascular Surgery
- Pediatric Cardiology
Background:
- Congenital coronary aneurysms (CCAs) are rare vascular malformations.
- Their clinical presentation and long-term prognosis are not well-defined.
Observation:
- Two cases of CCAs are presented, one diagnosed post-myocardial infarction.
- Aneurysm thrombosis is a critical factor influencing prognosis.
Findings:
- Both patients underwent successful surgical treatment.
- Treatment involved aneurysm exclusion and coronary artery bypass grafting.
Implications:
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
- This study highlights effective management strategies for CCAs.
Abstract:
Congenital coronary aneurysms are an unusual anatomical entity. Their prognosis appears to be particularly dependent on the presence or absence of aneurysm thrombosis. We report two cases of congenital coronary aneurysms, diagnosed in one case after myocardial infarction. The two patients were treated successfully by an exclusion of the aneurysm and coronary bypass. The aim of this study is to discuss the clinical features, prognosis and management of this disease.