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Giant Saccular Aneurysm of the Right Coronary Artery

Cihan Öztürk1, Mustafa Ebik

  • 1Trakya University Faculty of Medicine, Department of Cardiology, Edirne, Turkey. dr.cihanozturk@gmail.com.

The Journal of Invasive Cardiology
|October 5, 2021
PubMed

Insights

Coronary artery aneurysms (CAAs) are rare, especially those over 10 mm. Atherosclerosis can cause CAAs, which may remain asymptomatic for years, necessitating follow-up in patients with systemic diseases.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Coronary artery aneurysm (CAA) involves segmental coronary dilation exceeding 1.5 times adjacent normal diameter.
  • Incidence in the general population ranges from 1.5% to 5%.
  • CAAs exceeding 10 mm are exceptionally rare.

Purpose of the Study:

  • To evaluate the cause of CAA in a patient with diffuse coronary artery disease.
  • To determine if the CAA lesion was the cause of acute coronary syndrome.
  • To highlight the potential for asymptomatic CAA and the need for follow-up in specific patient groups.

Main Methods:

  • Case study analysis of a patient with diffuse coronary artery disease and CAA.
  • Evaluation of atherosclerosis as the potential cause of CAA.
  • Assessment of the CAA lesion's role in acute coronary syndrome.

Main Results:

  • Atherosclerosis was identified as the cause of CAA in this patient.
  • The CAA lesion was not the cause of acute coronary syndrome.
  • The patient's CAA remained asymptomatic.

Conclusions:

  • Coronary artery aneurysms can be caused by atherosclerosis and may remain asymptomatic for extended periods.
  • Systemic diseases like Kawasaki's disease and Behçet's disease warrant vigilant follow-up for CAA.
  • Early identification and monitoring of CAA are crucial, particularly in patients with underlying systemic conditions.

Keywords:
aneurysm ligationcoronary artery aneurysmleft main coronary artery stenosis

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