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[Coronary artery aneurysms (author's transl)].

D Koischwitz, T Harder, U Schuppan

    Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
    |April 1, 1982
    PubMed
    Summary

    Seven cases of saccular coronary artery aneurysms were found in 1452 angiograms. Most were arterio-sclerotic, with one possibly congenital or mycotic. These aneurysms pose a poor prognosis due to rupture or thrombo-embolic events.

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    Area of Science:

    • Cardiology
    • Vascular Medicine
    • Diagnostic Imaging

    Background:

    • Coronary artery aneurysms are rare vascular abnormalities.
    • Diagnosis and management remain challenging.
    • Understanding their etiology and prognosis is crucial.

    Purpose of the Study:

    • To report the incidence and characteristics of saccular coronary artery aneurysms.
    • To discuss differential diagnosis and clinical implications.
    • To highlight the importance of coronary angiography in diagnosis and treatment.

    Main Methods:

    • Retrospective analysis of 1452 selective coronary artery angiograms.
    • Identification and characterization of coronary artery aneurysms.
    • Review of patient data for etiological and prognostic factors.

    Main Results:

    • Seven saccular coronary artery aneurysms were identified.
    • Six aneurysms were associated with arteriosclerosis.
    • One aneurysm was potentially congenital or mycotic-embolic in origin.

    Conclusions:

    • Coronary artery aneurysms, particularly saccular types, are infrequently diagnosed via coronary angiography.
    • Arteriosclerosis is the predominant cause, but congenital or embolic origins should be considered.
    • These aneurysms carry a significant risk of rupture or thrombo-embolic complications, necessitating prompt diagnosis and management.

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