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Multiple aneurysms of the coronary arteries in a patient with systemic aneurysmal disease
C L LaMendola1, A T Culliford, L J Harris
1Department of Surgery, New York University Medical Center, New York 10016.
Insights
This case report details multiple coronary artery aneurysms found alongside abdominal aortic and popliteal artery aneurysms. Coronary sinus cardioplegia is highlighted for reducing embolization risk during surgical repair.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Interventional Cardiology
Background:
- Coronary artery aneurysms (CAAs) are increasingly detected with aggressive cardiovascular disease management.
- Co-occurrence of CAAs with peripheral artery aneurysms (PAAs) like abdominal aortic aneurysms (AAAs) and popliteal artery aneurysms (PAAs) is being observed.
- The diagnostic and therapeutic approaches for coronary artery disease (CAD) are evolving.
Abstract:
A case of multiple coronary artery aneurysms in a patient with an abdominal aortic aneurysm and bilateral popliteal artery aneurysms is reported. As diagnosis and treatment of coronary artery disease become more aggressive, a higher incidence of detection of coronary artery aneurysms in conjunction with peripheral vascular lesions is likely. The role of coronary sinus cardioplegia in minimizing the risk of embolization from the coronary aneurysms during surgical repair is emphasized.