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Multivessel Giant Coronary Artery Aneurysms Incidentally Demonstrated During Angiography for Acute Myocardial

Imants Rubenis1, Christopher Naoum1,2, John Yiannikas1,2

  • 1Department of Cardiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

JACC. Case Reports
|November 17, 2022
PubMed

Insights

Giant coronary artery aneurysms, defined as >20 mm, are rare in coronary artery disease. This case highlights multivessel giant coronary artery aneurysms found during angiography for myocardial infarction.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Diagnostic Imaging

Background:

  • Giant coronary artery aneurysms (GCAAs) are uncommon complications of coronary artery disease (CAD).
  • GCAAs are typically defined as having a diameter exceeding 20 mm.
  • Accurate diagnosis and assessment necessitate multimodal imaging approaches.

Purpose of the Study:

  • To report a rare case of multivessel GCAAs.
  • To illustrate the diagnostic process for GCAAs in the context of myocardial infarction.
  • To emphasize the importance of comprehensive imaging in evaluating complex coronary artery pathologies.

Main Methods:

  • Coronary angiography was performed for the evaluation of myocardial infarction.
  • Multivessel GCAAs were identified during the diagnostic angiography.
  • Noninvasive imaging modalities were considered for comprehensive assessment (though not detailed in the abstract).

Main Results:

  • A case of multivessel GCAAs was diagnosed.
  • The aneurysms were incidentally discovered during angiography for acute coronary syndrome.
  • The findings underscore the potential for extensive GCAA involvement.

Conclusions:

  • Multivessel GCAAs represent a rare but significant finding in patients with CAD.
  • Angiography remains crucial for diagnosing GCAAs, especially in acute settings.
  • Multimodal imaging is essential for complete characterization and management planning of GCAAs.

Keywords:
CAA, coronary artery aneurysmCT, computed tomographyLCX, left circumflexMI, myocardial infarctionangiographycardiac imaginggiant coronary artery aneurysm

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