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Updated: Aug 16, 2026

Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
Multiple atherosclerotic coronary aneurysms in association with acute myocardial infarction
Insights
This case study highlights a 60-year-old woman experiencing acute myocardial infarction due to coronary artery aneurysms. Atherosclerosis was identified as the likely cause of these complex vascular conditions.
Area of Science:
- Cardiology
- Vascular Medicine
- Interventional Cardiology
Background:
- Coronary artery aneurysms are rare but can lead to serious complications.
- Atherosclerosis is a common underlying cause of cardiovascular disease.
Observation:
- A 60-year-old woman presented with acute infero-posterior myocardial infarction.
- Cine-coronary arteriogram revealed diffuse epicardial coronary artery dilatation with multiple fusiform and saccular aneurysms.
- Ventriculography showed reduced ejection fraction (36%) and regional wall motion abnormalities.
Findings:
- The coronary aneurysms were attributed to atherosclerosis.
- Coronary embolization was suggested as the cause of the acute myocardial infarction.
- Poor distal coronary artery run-off was noted.
Implications:
- This case underscores the importance of considering coronary aneurysms in patients with myocardial infarction.
- Early diagnosis and management of atherosclerosis are crucial to prevent such complications.
- Further research into the mechanisms of aneurysm formation and embolization is warranted.
Abstract:
A 60-year-old woman with multiple coronary aneurysms, complicated with acute infero-posterior myocardial infarction is presented. The cine-coronary arteriogram disclosed a diffuse dilatation of epicardial coronary arteries associated with multiple aneurysms, fusiform ones in the right coronary and the left circumflex coronary arteries and saccular ones in the left anterior descending coronary artery. Distal run-off was poor. Ventriculography revealed a decrease in the ejection fraction (36%) and segmental abnormal wall motion at the apical and infero-posterior regions. The cause of the aneurysms appeared to be atherosclerotic. We suggested that coronary embolization was the cause of acute myocardial infarction in this case.
Related Concept Videos
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Atherosclerosis I: Introduction
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Aneurysm I: Introduction
Aneurysm II: Clinical Manifestations and Diagnostic Studies

