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Coronary artery discrete aneurysms, ectasia, and occlusive disease ane extensive arteriomegaly. Correlation,
I P Gavaliatsis1, C T Dionisopoulou, N G Margaris
1Cardiac Catheterization Laboratory, Evangelismos Hospital, Athens, Greece.
Insights
This case study presents a 65-year-old man with coronary artery aneurysms and widespread atherosclerosis, leading to acute myocardial infarction. The findings highlight the diverse vascular manifestations of atherosclerosis.
Area of Science:
- Cardiovascular Medicine
- Vascular Biology
- Radiology
Background:
- Atherosclerosis is a systemic inflammatory disease affecting arteries.
- Coronary artery disease (CAD) and peripheral artery disease (PAD) are common manifestations.
- Aneurysms and ectasia represent advanced stages of vascular remodeling.
Observation:
- A 65-year-old male presented with acute anterior myocardial infarction.
- He had discrete coronary aneurysms, ectasia, stenoses, and left anterior descending artery occlusion.
- Aortography and angiography showed aortic and iliac elongation, tortuosity, aneurysms, and dilatated femoral/popliteal arteries.
Findings:
- The patient exhibited a rare combination of coronary and peripheral arterial aneurysms.
- Severe atherosclerosis manifested as stenoses, occlusions, ectasia, and aneurysmal dilatation.
- The case illustrates the extensive vascular involvement possible in atherosclerosis.
Implications:
- This case underscores the importance of considering systemic atherosclerosis in patients with complex vascular disease.
- It highlights the potential for aneurysmal degeneration in various arterial beds.
- Further research into the genetic and environmental factors contributing to such widespread atherosclerosis is warranted.
Abstract:
The case of a sixty-five-year-old man with discrete coronary aneurysms, associated with coronary artery ectasia, stenoses, and total occlusion of the left anterior descending artery, that resulted in an acute anterior myocardial infarction, is presented. Aortography and digital subtraction angiography revealed marked aortic and iliac elongation, tortuosity, and aneurysmal dilatation as well as dilatated femoral and popliteal arteries with aneurysmal dilatation in places. It is considered that the case reflects the broad spectrum of atherosclerosis manifestations.