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A case of giant coronary artery aneurysm and literature review

Toshiaki Ebina1, Yoshihiro Ishikawa, Keiji Uchida

  • 1Division of Cardiology, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, 232-0024, Japan. tebina@med.yokohama-cu.ac.jp

Journal of Cardiology
|March 24, 2009
PubMed

Insights

A giant coronary artery aneurysm, measuring 50 mm, was found in a patient with no symptoms. Surgical intervention was successful after four years of medical management for this rare condition.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Coronary artery aneurysms (CAAs) are uncommon in adults.
  • They are often associated with conditions like Kawasaki disease and atherosclerosis.

Observation:

  • A 40-year-old asymptomatic male presented with an abnormal cardiac shadow on chest roentgenogram.
  • Imaging revealed a giant left anterior descending artery aneurysm, approximately 50 mm in diameter.

Findings:

  • The giant coronary artery aneurysm initially underwent medical management and follow-up.
  • After four years, the aneurysm enlarged, necessitating surgical resection and coronary artery bypass grafting.
  • The surgical procedure was performed successfully.

Implications:

  • This case highlights the potential for significant growth of giant coronary artery aneurysms over time.
  • Surgical intervention is a viable option for managing large, symptomatic, or growing CAAs.
  • Further literature review on giant CAAs exceeding 50 mm is warranted.

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