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Coronary Artery Diffuse Aneurysmal Dilation in an Acute Myocardial Infarction Patient
Sherif Elhosseiny1, Emad Barsoum2, Ruben Kandov3
1Internal Medicine, Staten Island University Hospital, Staten Island, USA.
Abstract:
Coronary artery aneurysm (CAA) is a rare disease that is associated with dangerous dormant complications. It is associated with atherosclerotic heart disease in half of the cases during a coronary angiogram. Currently, there are no guidelines for the management of such cases. We present a case of acute ST-segment elevation myocardial infarction in a male patient who was found to have diffuse aneurysmal dilation of the coronary arteries along with 100% occlusion of the right coronary artery. The complexity of the lesions caused him not to be a candidate for either percutaneous or surgical intervention. This raises an important question regarding treatment options in such a rare case.
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