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Recurrent myocardial infarction provoked by multiple giant coronary aneurysms. A case report
R Nakaike1, Y Urabe, H Shimokawa
1Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Angiology
|March 1, 1996
Insights
This rare case highlights multiple coronary artery aneurysms leading to recurrent heart attacks. Autopsy revealed giant, thrombosed aneurysms in atherosclerosis patients.
Area of Science:
- Cardiovascular Medicine
- Pathology
Background:
- Atherosclerosis is a common condition affecting coronary arteries.
- Coronary artery aneurysms are infrequent, especially giant and thrombosed types.
Observation:
- A patient presented with recurrent myocardial infarction.
- Cine-coronary angiogram and autopsy revealed significant ectasia of epicardial coronary arteries.
Findings:
- Multiple giant, thrombosed aneurysms were identified.
- This presentation is exceptionally rare in the context of atherosclerosis.
Implications:
- This case underscores the complex and varied manifestations of coronary artery disease.
- Understanding such rare pathologies is crucial for accurate diagnosis and management of myocardial infarction.
Abstract:
A case of multiple coronary aneurysms, complicated with repeated myocardial infarction, is presented. The cine-coronary angiogram and autopsy disclosed marked dilatation of epicardial coronary arteries associated with multiple giant thrombosed aneurysms, which is rare in patients with atherosclerosis.