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Left Main Coronary Artery Fusiform Aneurysm.
Miguel A Rodriguez Guerra1, Ana P Urena Neme2, Michael Victoria3
1Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, USA.
Cureus
|June 8, 2022
Summary
A rare left main coronary artery aneurysm was incidentally found in a young woman with vasculitis. This case highlights the importance of considering coronary aneurysms in patients with inflammatory conditions.
Area of Science:
- Cardiology
- Vascular Medicine
- Rheumatology
Background:
- Coronary artery aneurysms are uncommon, with left coronary artery aneurysms being the least frequent.
- Vasculitis, such as polyarteritis nodosa, can be associated with coronary artery abnormalities.
Observation:
- A 20-year-old female with a history of polyarteritis nodosa presented with shortness of breath and chest discomfort.
- Physical examination revealed joint pain and tenderness.
- Echocardiography suggested a coronary aneurysm, which was confirmed by angio-tomography.
Findings:
- The patient was diagnosed with a left fusiform coronary aneurysm.
- The aneurysm was discovered incidentally during diagnostic workup.
- The patient was discharged without complications.
Implications:
- This case underscores the rarity of left main coronary artery aneurysms.
- There are no established guidelines for the screening and management of coronary aneurysms.
- Non-invasive follow-up methods are preferred over invasive procedures for monitoring these aneurysms.
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