A Rare Case of Left Main Coronary Artery Aneurysm
Iva N Dimitrova1, Georgi Kotov2, Alexandar Iliev2
1Cardiology, St. Ekaterina University Hospital, Medical University of Sofia, Sofia, BGR.
Abstract:
Coronary artery aneurysms are uncommon and are usually described as dilatations larger than 1.5 times the diameter of the adjacent coronary arteries. The aneurysms vary between 0.15% and 4.9% and usually affect the right coronary artery, followed by the circumflex and anterior descending artery. Left main coronary artery (LMCA) aneurysm is an extremely rare clinical entity. Herein, we present a case in a 69-year-old man with a prior history of chest pain and palpitations. Significant ischemic ST changes were registered on Holter electrocardiography during paroxysmal atrial fibrillation.
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