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Giant Aneurysm of the Left Main Coronary Artery: A Case Report

Burak Açar1, Sefa Ünal1, Çağrı Yayla1

  • 1Department of Cardiology, Yuksek Ihtisas Heart-Research and Education Hospital, Ankara, Turkey.

The Journal of Tehran Heart Center
|July 13, 2018
PubMed

Insights

A rare, large left main coronary artery aneurysm was diagnosed in a male patient presenting with exertional angina. Medical therapy was planned due to the rarity and lack of standard treatment for coronary artery aneurysms.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Coronary artery aneurysms are uncommon, with prevalence varying from 0.2% to 6% in reported series.
  • These aneurysms can lead to significant cardiac symptoms, including exertional angina.

Observation:

  • A male patient presented with a massive aneurysm of the left main coronary artery.
  • The entire left coronary system originated from this large aneurysm.

Findings:

  • Coronary angiography confirmed the aneurysm, with subsequent multislice computed tomography and 3D reconstruction providing detailed anatomical information.
  • The patient experienced exertional angina attributed to the coronary artery aneurysm.

Implications:

  • The management of such rare and large coronary artery aneurysms lacks standardized protocols.
  • Medical therapy was chosen after multidisciplinary consultation, highlighting the need for individualized treatment approaches.
  • This case underscores the importance of advanced imaging in diagnosing and characterizing complex coronary artery abnormalities.

Keywords:
Coronary aneurysmCoronary vessel anomaliesMultidetector computed tomography

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