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Giant Coronary Artery Aneurysm Causing Acute Anterior Myocardial Infarction

Ahmet Yanık1, Uğur Arslan1, Murat Akçay1

  • 1Department of Cardiology, Samsun Education and Research Hospital, Samsun, Turkey.

Case Reports in Medicine
|November 29, 2016
PubMed

Insights

A large coronary artery aneurysm complicated acute myocardial infarction (MI). Successful surgical revascularization with coronary artery bypass grafting (CABG) and aneurysm ligation resolved the critical blockage.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Coronary artery aneurysms are rare but can lead to serious complications like myocardial infarction.
  • Acute myocardial infarction (MI) necessitates prompt intervention to restore blood flow.

Purpose of the Study:

  • To report a case of acute anterior MI caused by a large coronary artery aneurysm.
  • To describe the successful surgical management of this complex cardiovascular condition.

Main Methods:

  • Coronary angiography to diagnose the aneurysm and occlusion.
  • Emergent coronary artery bypass grafting (CABG) with ligation of the aneurysm.
  • Postoperative medical management with antiplatelet and statin therapy.

Main Results:

  • Successful primary percutaneous coronary intervention (PCI) was not feasible due to the aneurysm.
  • Emergent CABG using LIMA and saphenous vein grafts achieved successful revascularization.
  • The patient experienced an uneventful recovery and was asymptomatic at one-month follow-up.

Conclusions:

  • Surgical management, including CABG and aneurysm ligation, is a viable option for acute MI secondary to coronary artery aneurysms.
  • Multivessel coronary artery disease in conjunction with aneurysms requires a comprehensive surgical approach.

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