Related Experiment Video

Updated: Sep 13, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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[An unusual left retroatrial mass]

Annita Bava1, Maria Rosaria Giuffrè1, Stefano Postorino1

  • 1U.O.C. Cardiologia-UTIC, Grande Ospedale Metropolitano BMM, Reggio Calabria.

Giornale Italiano Di Cardiologia (2006)
|July 28, 2025
PubMed

Insights

A rare case of a giant coronary artery aneurysm presenting as acute myocardial infarction was successfully treated with angioplasty and stenting. This highlights challenges in managing rare coronary artery conditions.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Interventional Cardiology

Background:

  • Giant coronary artery aneurysms are rare vascular malformations.
  • Diagnosis within acute coronary syndrome (ACS) presentation is exceptionally uncommon.
  • Limited established guidelines exist for managing these complex cases.

Purpose of the Study:

  • To report a unique case of a giant coronary artery aneurysm.
  • To discuss the diagnostic and therapeutic challenges encountered.
  • To contribute to the limited literature on managing this rare condition.

Main Methods:

  • Case presentation of a 75-year-old male with myocardial infarction.
  • Diagnostic imaging including echocardiogram and coronary angiography.
  • Interventional treatment involving angioplasty and drug-eluting stent implantation.

Main Results:

  • A giant aneurysm of the circumflex artery with distal occlusion was identified.
  • The patient presented with infero-postero-lateral myocardial infarction.
  • Successful revascularization of the occluded coronary artery was achieved.

Conclusions:

  • Giant coronary artery aneurysms can present as acute coronary syndromes.
  • Multidisciplinary Heart Team evaluation is crucial for management decisions.
  • Percutaneous coronary intervention can be a viable treatment option despite management uncertainties.

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