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Interesting images: Multiple coronary artery aneurysms

Jonathon M Howard1, Omar Viswanath1, Alfredo Armas2

  • 1Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA.

Annals of Cardiac Anaesthesia
|July 14, 2017
PubMed

Insights

A 65-year-old male with stable angina and dyspnea on exertion was diagnosed with severe coronary artery disease and multiple aneurysms. Surgical intervention via coronary artery bypass graft proved effective for this complex cardiac case.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Stable angina and dyspnea on exertion are common symptoms indicating potential underlying coronary artery disease.
  • Early and accurate diagnosis is crucial for managing complex cardiac conditions and preventing adverse outcomes.

Observation:

  • A 65-year-old male presented with exertional symptoms, revealing reversible apical ischemia on stress testing and impaired systolic function on echocardiogram.
  • Cardiac catheterization identified severe atherosclerotic disease and multiple coronary artery aneurysms, necessitating surgical intervention.

Findings:

  • The case demonstrates significant atherosclerotic disease manifesting as multiple coronary artery aneurysms.
  • Diagnostic imaging modalities including coronary angiogram, transesophageal echocardiography, and surgical visualization confirmed the aneurysms.

Implications:

  • This case underscores the importance of comprehensive diagnostic evaluation for complex coronary artery disease.
  • Successful coronary artery bypass graft surgery highlights effective management strategies for patients with coronary artery aneurysms.

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