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Coronary Artery Aneurysms: A Clinical Case Report and Literature Review Supporting Therapeutic Choices
Michele Sannino1, Matteo Nicolai2, Fabio Infusino3
1Cardiology Unit, Department of Emergency and Admission, San Paolo Hospital, Largo Donatori di Sangue 1, 00053 Civitavecchia, Italy.
Insights
Coronary artery aneurysms (CAAs) are rare vascular conditions. This case report highlights the importance of personalized treatment for CAAs, emphasizing individualized strategies for optimal patient outcomes.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Coronary artery aneurysms (CAAs) are uncommon cardiovascular abnormalities with diverse etiologies.
- They can lead to serious complications such as thrombosis, myocardial infarction, and sudden cardiac death.
Purpose of the Study:
- To present a case of a right coronary artery aneurysm in a 79-year-old male.
- To review current literature on the diagnosis and management of CAAs.
- To underscore the necessity of individualized treatment approaches for CAAs.
Main Methods:
- Case report of a patient presenting with palpitations.
- Diagnosis confirmed via coronary angiography.
- Comprehensive literature review on coronary artery aneurysms.
Main Results:
- A 79-year-old male was diagnosed with a right coronary artery aneurysm.
- Literature review confirmed variable presentation and management strategies for CAAs.
- The importance of tailoring treatment based on aneurysm characteristics and patient factors was highlighted.
Conclusions:
- Coronary artery aneurysms require careful evaluation and management.
- Individualized treatment strategies are crucial for effective management of CAAs.
- Further research may refine optimal therapeutic pathways for these rare conditions.
Abstract:
Coronary artery aneurysms (CAAs) are uncommon but significant cardiovascular abnormalities characterized by an abnormal increase in vascular diameter. CAAs are classified based on their shape as either saccular or fusiform, and their causes can range from atherosclerosis, Kawasaki disease, to congenital and iatrogenic factors. CAAs often present asymptomatically, but when symptoms occur, they can include angina, myocardial infarction, or even sudden cardiac death due to intravascular thrombosis involving the CAA. Diagnosis is typically confirmed through coronary angiography, though CT and other imaging techniques can provide additional details. The management of CAAs is variable depending on their size, location, and the presence of symptoms or complications. Treatment options include medical therapy, percutaneous coronary intervention (PCI), or surgical approaches. In this paper, we describe the case report of a 79-year-old male who presented with palpitations and was diagnosed with a right coronary artery aneurysm, and a review of the literature is delineated, underscoring the importance of individualized treatment strategies for CAAs.
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