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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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A giant coronary artery ectasia successfully managed conservatively

Waqas Ullah1, Mishal Shaukat2, Asrar Ahmad3

  • 1Internal Medicine, Abington Hospital- Jefferson Health, Abington, PA, USA.

Journal of Community Hospital Internal Medicine Perspectives
|August 28, 2020
PubMed

Insights

Coronary artery aneurysms (CAA), a rare condition causing abnormal coronary artery dilation, were observed in a 77-year-old man. This case highlights successful conservative management of a large left main CAA with significant left circumflex stenosis.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Coronary artery aneurysms (CAA) are uncommon, involving abnormal dilation of the coronary arteries.
  • Atypical chest pain and elevated cardiac enzymes can indicate underlying cardiac pathology.

Observation:

  • A 77-year-old male presented with atypical chest pain and elevated cardiac enzymes.
  • Diagnostic left heart catheterization revealed left main coronary artery aneurysm and significant left circumflex stenosis.

Findings:

  • The patient was diagnosed with a large left main coronary artery aneurysm.
  • Significant stenosis was noted in the left circumflex artery.

Implications:

  • This case underscores the possibility of successful conservative medical management for large coronary artery aneurysms.
  • Highlights the importance of diagnostic evaluation for atypical chest pain, even in the presence of rare conditions like CAA.

Keywords:
Coronary ectasiacoronary aneurysmcoronary artery embolization; Conservative management; Angiography

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