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Recurrent Chest Pain Due to a Huge Left Main Aneurysm: A Case Report

Erfan Kazemi1, Hossein Sheibani2

  • 1Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.

The Journal of Tehran Heart Center
|October 28, 2022
PubMed

Insights

A rare case of a huge left main coronary artery aneurysm was found in an 87-year-old man. Medical management with vasodilators and antiplatelet agents relieved his chest pain.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Coronary artery aneurysms (CAAs) are uncommon vascular abnormalities.
  • Aneurysms specifically affecting the left main coronary artery are exceptionally rare.

Observation:

  • An 87-year-old male presented with atypical chest pain.
  • Electrocardiography revealed a right bundle branch block and inferior ST-segment elevation.
  • Coronary angiography identified a large left main coronary artery aneurysm without thrombus.

Findings:

  • Atherosclerosis is identified as the primary etiology for CAAs.
  • The patient's chest pain resolved following treatment with nitroglycerin, beta-blockers, calcium channel blockers, aspirin, and clopidogrel.

Implications:

  • This case highlights the importance of considering rare coronary artery pathologies in elderly patients with atypical chest pain.
  • Successful medical management of a left main coronary artery aneurysm suggests a potential non-surgical therapeutic approach in select cases.

Keywords:
AngiographyChest painCoronary aneurysmCoronary artery diseaseThrombosis

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