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Coronary Artery Aneurysms as a Cause of Acute Coronary Syndrome Presentation - A Focused Review

Azka Latif1, Amy Tran2, Junaid Ahsan3

  • 1Division of Cardiovascular Medicine, Baylor College of Medicine, Houston, Texas, USA.

Current Cardiology Reviews
|March 31, 2023
PubMed

Insights

Coronary artery aneurysms (CAA) can cause acute coronary syndrome (ACS) symptoms like chest pain. Current management strategies for CAA are unclear due to varied presentations and unknown causes.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Coronary artery aneurysms (CAA) are dilations exceeding 1.5 times local diameter.
  • CAAs often present incidentally but can lead to severe complications including thrombosis, embolization, ischemia, arrhythmias, and heart failure.

Approach:

  • This review discusses the role of CAAs in acute coronary syndrome (ACS) presentations.
  • It examines current management strategies for coronary artery aneurysms.

Key Points:

  • Chest pain is the most common symptom in symptomatic CAA cases.
  • CAA pathophysiology is not fully understood, complicating diagnosis and management.
  • Variable presentations mimic other acute coronary syndromes, hindering clear treatment pathways.

Conclusions:

  • Understanding CAA's contribution to ACS is crucial.
  • Further research is needed to establish clear management guidelines for coronary artery aneurysms.

Keywords:
CAARCoronary artery aneurysmsacute coronary syndromecomplicationscoronary artery diseasemanagement

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